Open AccessAcute kidney injury associated with ingestion of star fruit: Acute oxalate nephropathy
Author(s) -
Anup Kumar Barman,
Rohit Goel,
Medha Sharma,
Pranab Jyoti Mahanta
Publication year - 2016
Publication title -
indian journal of nephrology/indian journal of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.317
H-Index - 24
eISSN - 1998-3662
pISSN - 0971-4065
DOI - 10.4103/0971-4065.175978
Subject(s) - medicine , averrhoa carambola , ingestion , acute kidney injury , oxalate , nephrotoxicity , nephropathy , hemodialysis , kidney , gastroenterology , traditional medicine , diabetes mellitus , endocrinology , food science , chemistry , organic chemistry
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.