Case Report. Star fruit as a cause of acute kidney injury

Acute kidney injury can occur due to various reasons. In this case report two cases of acute kidney injury (AKI) were reported after ingestion of 250 ml of starfruit juice presented. In both cases features of nephrotoxicity and neurotoxicity were found and there was mild to moderate rise in serum creatinine. Routine and microscopic examination of urine showed mild degree of proteinuria, no other active urinary sediment was found except calcium oxalate crystals. Renal biopsy was done in both cases which showed features of acute tubular necrosis. These two patients were treated symptomatically and discharged with normal serum creatinine. There is no case report of acute kidney injury due to star fruit ingestion in Bangladesh. Star fruit is very popular, cheap and easily available. But its nephrotoxic effect is not known to general population. These two case reports might be a first time message to the nation.J Shaheed Suhrawardy Med Coll, 2015; 7(1):33-35

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Acute kidney injury due to star fruit ingestion: A case report

Bangabandhu Sheikh Mujib Medical University Journal ◽

10.3329/bsmmuj.v7i2.29453 ◽

2016 ◽

Vol 7 (2) ◽

pp. 151 ◽

Cited By ~ 2

Author(s):

Mehruba Alam Ananna ◽

Rubayet Hasan ◽

Tabassum Samad ◽

Mohammad Abdur Rahim ◽

Mohammad Erfanur Rahman ◽

...

Keyword(s):

Chronic Kidney Disease ◽

Acute Kidney Injury ◽

Renal Function ◽

Case Report ◽

Fruit Juice ◽

Kidney Injury ◽

Renal Function Impairment ◽

Star Fruit ◽

Function Impairment ◽

The World

<p>Star fruit (Avarrhoa carambola) is a fruit from oxalidace family. lt is found in many countries of the world including Bangladesh. But its ingestion or drinking star fruit juice may lead to intoxication especially in patients with chronic kidney disease and manifestations might be neurological or nephrological. lt may also cause acute kidney injury in patients with previously normal renal function. Here we are presenting a case who presented with acute kidney injury after star fruit ingestion with previously unknown renal function impairment. The etiology was confirmed by histopathological examination after doing renal biopsy. This renal function impairment is mainly due to oxalate crystal induce nephropathy which is richly abundant in star fruit. His renal function was improved ·with conservative management. Physicians should be alert to consider the ingestion of star fruit as a cause of acute kidney injury in a patient even in the absence of previous renal function impairment.</p>

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Successful treatment of decompression sickness complicated with acute hepatic infarction and acute kidney injury: a case report

Undersea and Hyperbaric Medicine ◽

10.22462/01.03.2019.10 ◽

2019 ◽

pp. 81-85

Author(s):

Se Hyun Oh ◽

◽

Hui Dong Kang ◽

Sang Ku Jung ◽

Sangchun Choi ◽

...

Keyword(s):

Acute Kidney Injury ◽

Case Report ◽

Hyperbaric Oxygen ◽

Successful Treatment ◽

Decompression Sickness ◽

Kidney Injury ◽

Pressure Change ◽

Hepatic Infarction ◽

Hbo2 Therapy

Decompression sickness is a disease caused by abrupt pressure change and presents various symptoms. To date, acute kidney injury associated with decompression sickness has been reported frequently, but there is no report of hepatic infarction associated with decompression sickness. We report a case of acute kidney injury and acute hepatic infarction treated with hyperbaric oxygen (HBO2) therapy and dialysis in a patient with severe decompression sickness after work diving.

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G236(P) Acute kidney injury secondary to acute bilateral vesicoureteric obstruction: a case report

10.1136/archdischild-2019-rcpch.230 ◽

2019 ◽

Author(s):

AM Lee ◽

N Martin ◽

S De

Keyword(s):

Acute Kidney Injury ◽

Case Report ◽

Kidney Injury

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Rhabdomyolysis, Acute Kidney Injury, and a Novel Frameshift Mutation in a Child with Glutaric Acidemia Type I

Nephron ◽

10.1159/000515012 ◽

2021 ◽

pp. 1-6

Author(s):

Linlin Huang ◽

Ting Shi ◽

Ying Li ◽

Xiaozhong Li

Keyword(s):

Acute Kidney Injury ◽

Case Report ◽

Frameshift Mutation ◽

Novel Mutation ◽

Kidney Injury ◽

Febrile Illness ◽

Type I ◽

Continuous Venovenous Hemodiafiltration ◽

Glutaric Acidemia Type I ◽

Acute Decompensation

This is a case report of a girl with glutaric acidemia type I (GA-I) who experienced rhabdomyolysis and acute kidney injury (AKI). Her first acute metabolic crisis occurred at the age of 5 months, which mainly manifested as irritable crying, poor appetite, and hyperlactatemia. Mutation analysis showed 2 pathogenic mutations in the glutaryl-CoA dehydrogenase (GCDH) gene, which were c.383G>A (p.R128Q) and c.873delC (p.N291Kfs*41), the latter of which is a novel frameshift mutation of GA-I. She had a febrile illness at the age of 12 months, followed by AKI and severe rhabdomyolysis. Four days of continuous venovenous hemodiafiltration (CVVHDF) helped to overcome this acute decompensation. This case report describes a novel mutation in the GCDH gene, that is, c.873delC (p.N291Kfs*41). Also, it highlights the fact that patients with GA-I have a high risk of rhabdomyolysis and AKI, which may be induced by febrile diseases and hyperosmotic dehydration; CVVHDF can help to overcome this acute decompensation.

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The Use of Supra-Hemodiafiltration in Traumatic Rhabdomyolysis and Acute Kidney Injury: A Case Report

Case Reports in Nephrology and Dialysis ◽

10.1159/000507424 ◽

2021 ◽

pp. 26-35

Author(s):

Gabriele Donati ◽

Maria Cappuccilli ◽

Federica Di Filippo ◽

Simone Nicoletti ◽

Marco Ruggeri ◽

...

Keyword(s):

Acute Kidney Injury ◽

Case Report ◽

Septic Patient ◽

Medical Therapy ◽

Kidney Injury ◽

First Case ◽

Successful Recovery

Oliguric acute kidney injury due to traumatic rhabdomyolysis can be potentially lethal if the proper medical therapy combined with extracorporeal detoxification is not performed. Different extracorporeal techniques are available to overcome this syndrome. Here, we report the first case of removal of myoglobin and successful recovery from acute kidney injury in an elderly septic patient using supra-hemodiafiltration with endogenous reinfusion technique (HFR-Supra) combined with the medical therapy.

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