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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.

Authors+Show Affiliations

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Chang Gung Memorial Hospital, Lin-Kou Medical Center, Medical College of Chang Gung University, Taoyuan, Taiwan, ROC.

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Source

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

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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 - https://medlineplus.gov/kidneyfailure.html DB - PRIME DP - Unbound Medicine ER -