Acute kidney injury associated with ingestion of star fruit: Acute oxalate nephropathy

Starfruit (Averrhoa carambola) and its juice are popular in the Indian subcontinent as an indigenous medicine. Oxalate concentration in this fruit and it′s freshly prepared juice is very high. We present a report of patients presenting with acute kidney injury due to oxalate nephropathy admitted in...

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Bibliographic Details
Published in:Indian journal of nephrology 2016-11, Vol.26 (6), p.446-448
Main Authors: Barman, A, Goel, R, Sharma, M, Mahanta, P
Format: Article
Language:English
Subjects:
Care and treatment
Case Report
Diagnosis
Kidney diseases
Oxalic acid
Physiological aspects
Risk factors
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Summary:Starfruit (Averrhoa carambola) and its juice are popular in the Indian subcontinent as an indigenous medicine. Oxalate concentration in this fruit and it′s freshly prepared juice is very high. We present a report of patients presenting with acute kidney injury due to oxalate nephropathy admitted in a single center. All patients had history of ingesting star fruit. Patients became symptomatic after 10-12 h of eating and main symptoms were pain abdomen and decrease in urine output. Three patients needed hemodialysis. All improved with complete renal recovery. Taking star fruit in large amount on an empty stomach and in a dehydrated state is a risk factor for nephrotoxicity.
ISSN:0971-4065
1998-3662
DOI:10.4103/0971-4065.175978