Infections negatively influence the production of tambaqui, and in north Brazil, the wide distribution of this parasitic disease has generated concern among fish farmers. The objective of this study was to review published literature on this pathogen. Six main online research databases were searched using the keywords “Neoechinorhynchus buttnerae”, “acantocefalose”, and “acanthocephalan fish”. Based on a set of predetermined criteria, 39 publications were selected for this review. The mechanism of pathogenic action of N. buttnerae is related to the degree of penetration of the proboscis. Infection results in histopathological and morphological changes in the host. The recurrence of the parasite in the northern region was greater twelve years after their first occurrence. The lack of specific legislation on veterinary products for aquatic animals, combined with the neglect of good management practices, and the absence of a contingency plan for the control of acanthocephalan infections have contributed to the current health situation of Colossoma macropomum northern Brazil. Additional information about the occurrence of the disease, pathogenicity, and control of acanthocephalan infections are imperative for developing a disease contingency plan in the region and research to address these should be encouraged by the sector.