Background
Epidemiology
- Associated with ingestion of specific fish: crayfish, buffalo fish, burbot, eel, pike, arabaiana, and yellowtail amberjack
- Occurs worldwide (fish species varies)
Clinical Manifestations
- Occurs within 24 hours of ingestion
- Unexplained rhabdomyolysis with sudden, extreme muscular rigidity, diffuse myalgia, chest pain, shortness of breath, full-body numbness and weakness, and coffee-colored urine
- Elevated serum creatine kinase, myoglobin, transaminases, and lactate
