Acute oxalate nephropathy due to ‘Averrhoa bilimbi’ fruit juice ingestion

Irumban puli (Averrhoa bilimbi) is commonly used as a traditional remedy in the state of Kerala. Freshly made concentrated juice has a very high oxalic acid content and consumption carries a high risk of developing acute renal failure (ARF) by deposition of calcium oxalate crystals in renal tubules....

Descripción completa

Detalles Bibliográficos
Autores principales: Bakul, G., Unni, V. N., Seethaleksmy, N. V., Mathew, A., Rajesh, R., Kurien, G., Rajesh, J., Jayaraj, P. M., Kishore, D. S., Jose, P. P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2013
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3741977/
https://www.ncbi.nlm.nih.gov/pubmed/23960349
http://dx.doi.org/10.4103/0971-4065.114481
Descripción
Sumario:Irumban puli (Averrhoa bilimbi) is commonly used as a traditional remedy in the state of Kerala. Freshly made concentrated juice has a very high oxalic acid content and consumption carries a high risk of developing acute renal failure (ARF) by deposition of calcium oxalate crystals in renal tubules. Acute oxalate nephropathy (AON) due to secondary oxalosis after consumption of Irumban puli juice is uncommon. AON due to A. bilimbi has not been reported before. We present a series of ten patients from five hospitals in the State of Kerala who developed ARF after intake of I. puli fruit juice. Seven patients needed hemodialysis whereas the other three improved with conservative management.

Ejemplares similares