Star Fruit Intoxication

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Comment to: Status epilepticus induced by star fruit intoxication in patients with chronic renal disease

We read with interest the paper from Tsai and colleagues describing two uraemic patients with neurologic symptoms following ingestion of star fruit (Averrhoa carambola), a popular fruit among Orientals, belonging to the Oxalidaceae family. Star fruit’s neurotoxic effect was first reported by Muir and Lam who showed that its intraperitoneally or intracerebroventricularly injection could induce p...

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Status epilepticus induced by star fruit intoxication in patients with chronic renal disease

Star fruit has been reported as containing neurotoxins that often cause severe neurological complications in patients with chronic renal disease. We report two patients with chronic renal failure at a pre-dialyzed stage who developed refractory status epilepticus after ingestion of star fruit. In addition, we review 51 cases in the literature. Among 53 patients, 16 patients presented with epile...

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Intoxication by star fruit (Averrhoa carambola) in 32 uraemic patients: treatment and outcome.

BACKGROUND Clinical symptoms and outcomes of uraemic patients ingesting star fruit are quite variable and may progress to death. The purpose of the present report was to discuss the neurotoxic effects of star fruit intoxication in uraemic patients and to present the efficacy of different therapeutic approaches. METHODS We studied a total of 32 uraemic patients who had ingested star fruit. Bef...

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Star fruit intoxication successfully treated by charcoal haemoperfusion and intensive haemofiltration.

We report on a case of an elderly woman with chronic renal impairment, secondary to diabetic nephropathy, who developed a deep coma and seizure shortly after consumption of star fruit. She was managed in the intensive care unit, and her consciousness level improved dramatically after an 8-hour charcoal haemoperfusion and 30 hours of continuous haemofiltration. There were no long-term neurologic...

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Star fruit intoxication in a chronic renal failure patient: case report.

Chronic renal failure is a high morbidity and mortality condition, with its terminal phase incidence and prevalence steadily growing year after year. According to the Sociedade Brasileira de Nefrologia [Brazilian Society of Nephrology], the main causes of renal failure are arterial hypertension, glomerulonephritis and diabetes mellitus. Several factors are implied on chronic renal failure patie...

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ژورنال

عنوان ژورنال: Anwer Khan Modern Medical College Journal

سال: 2017

ISSN: 2304-5701,2221-836X

DOI: 10.3329/akmmcj.v6i2.31590