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Status epilepticus induced by star fruit intoxication in patients with chronic renal disease.
Seizure. 2005 Oct; 14(7):521-5.S

Abstract

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 epileptic seizures (30%). The mortality rate was as high as 75% in patients with seizures. On the other hand, in patients without seizures, the mortality rate was only 0.03%. There is a poor correlation with the degree of underlying renal function and mortality due to intoxication. We propose that epileptic seizure is significantly associated with poor prognosis, and that status epilepticus is an unpredictable and potentially fatal complication in star fruit intoxication. We advise consultant neurologists that star fruit intoxication must be considered when patients with chronic renal disease present with seizures or other unexplained neurological or psychiatric symptoms. Since no effective treatment has been established, star fruit consumption should be avoided in patients with chronic renal disease, especially in the elderly.

Authors+Show Affiliations

Department of Neurology, Chang Gung Memorial Hospital-Kaohsiung, 123 Ta Pei Road, Niao Sung Hsiang, Kaohsiung Hsien 83342, Taiwan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Comparative Study
Journal Article
Review

Language

eng

PubMed ID

16169255

Citation

Tsai, Meng-Han, et al. "Status Epilepticus Induced By Star Fruit Intoxication in Patients With Chronic Renal Disease." Seizure, vol. 14, no. 7, 2005, pp. 521-5.
Tsai MH, Chang WN, Lui CC, et al. Status epilepticus induced by star fruit intoxication in patients with chronic renal disease. Seizure. 2005;14(7):521-5.
Tsai, M. H., Chang, W. N., Lui, C. C., Chung, K. J., Hsu, K. T., Huang, C. R., Lu, C. H., & Chuang, Y. C. (2005). Status epilepticus induced by star fruit intoxication in patients with chronic renal disease. Seizure, 14(7), 521-5.
Tsai MH, et al. Status Epilepticus Induced By Star Fruit Intoxication in Patients With Chronic Renal Disease. Seizure. 2005;14(7):521-5. PubMed PMID: 16169255.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Status epilepticus induced by star fruit intoxication in patients with chronic renal disease. AU - Tsai,Meng-Han, AU - Chang,Wen-Neng, AU - Lui,Chun-Chung, AU - Chung,Kun-Jung, AU - Hsu,Kuo-Tai, AU - Huang,Chi-Ren, AU - Lu,Cheng-Hsien, AU - Chuang,Yao-Chung, Y1 - 2005/10/05/ PY - 2005/04/08/received PY - 2005/9/20/pubmed PY - 2005/12/16/medline PY - 2005/9/20/entrez SP - 521 EP - 5 JF - Seizure JO - Seizure VL - 14 IS - 7 N2 - 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 epileptic seizures (30%). The mortality rate was as high as 75% in patients with seizures. On the other hand, in patients without seizures, the mortality rate was only 0.03%. There is a poor correlation with the degree of underlying renal function and mortality due to intoxication. We propose that epileptic seizure is significantly associated with poor prognosis, and that status epilepticus is an unpredictable and potentially fatal complication in star fruit intoxication. We advise consultant neurologists that star fruit intoxication must be considered when patients with chronic renal disease present with seizures or other unexplained neurological or psychiatric symptoms. Since no effective treatment has been established, star fruit consumption should be avoided in patients with chronic renal disease, especially in the elderly. SN - 1059-1311 UR - https://www.unboundmedicine.com/medline/citation/16169255/Status_epilepticus_induced_by_star_fruit_intoxication_in_patients_with_chronic_renal_disease_ DB - PRIME DP - Unbound Medicine ER -