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Chronic renal disease patients with severe star fruit poisoning: hemoperfusion may be an effective alternative therapy.

Abstract

We report a case of star fruit intoxication in a 60-yr-old male patient with a past medical history of diabetes mellitus and chronic renal failure. Clinical effects included hiccups, hearing impairment, urine retention, and disturbed consciousness. Star fruit intoxication was also the suspected cause of hypothermia, an unusual symptom. The patient remained comatose after receiving two sessions of hemodialysis. However, after a 6 h session of charcoal hemoperfusion following the second hemodialysis treatment, his consciousness returned to normal within 1 day. While no previous study on hemoperfusion therapy in star fruit intoxication has been reported, in view of the fatal outcome of star fruit intoxication in uremic patients, hemoperfusion may be an alternative therapy if intensified hemodialysis fails.

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    MeSH

    Consciousness Disorders
    Foodborne Diseases
    Fruit
    Hemoperfusion
    Humans
    Kidney Failure, Chronic
    Male
    Middle Aged
    Renal Dialysis
    Treatment Failure

    Pub Type(s)

    Case Reports
    Journal Article

    Language

    eng

    PubMed ID

    15902795

    Citation

    TY - JOUR T1 - Chronic renal disease patients with severe star fruit poisoning: hemoperfusion may be an effective alternative therapy. AU - Chen,Lien-Li, AU - Fang,Ji-Tseng, AU - Lin,Ja-Liang, PY - 2005/5/21/pubmed PY - 2005/6/3/medline PY - 2005/5/21/entrez SP - 197 EP - 9 JF - Clinical toxicology (Philadelphia, Pa.) JO - Clin Toxicol (Phila) VL - 43 IS - 3 N2 - We report a case of star fruit intoxication in a 60-yr-old male patient with a past medical history of diabetes mellitus and chronic renal failure. Clinical effects included hiccups, hearing impairment, urine retention, and disturbed consciousness. Star fruit intoxication was also the suspected cause of hypothermia, an unusual symptom. The patient remained comatose after receiving two sessions of hemodialysis. However, after a 6 h session of charcoal hemoperfusion following the second hemodialysis treatment, his consciousness returned to normal within 1 day. While no previous study on hemoperfusion therapy in star fruit intoxication has been reported, in view of the fatal outcome of star fruit intoxication in uremic patients, hemoperfusion may be an alternative therapy if intensified hemodialysis fails. SN - 1556-3650 UR - https://www.unboundmedicine.com/medline/citation/15902795/full_citation L2 - http://openurl.ebscohost.com/linksvc/linking.aspx?genre=article&sid=PubMed&issn=1556-3650&title=Clin Toxicol (Phila)&volume=43&issue=3&spage=197&atitle=Chronic renal disease patients with severe star fruit poisoning: hemoperfusion may be an effective alternative therapy.&aulast=Chen&date=2005 ER -