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[Star fruit (Averrhoa carambola) toxic encephalopathy].
Rev Neurol (Paris). 2009 Mar; 165(3):268-72.RN

Abstract

Ingestion of star fruit (Averrhoa carambola) can induce severe intoxication in subjects with chronic renal failure. Oxalate plays a key role in the neurotoxicity of star fruit. We report the cases of two patients with unknown chronic renal insufficiency who developed severe encephalopathy after ingestion of star fruit. The two patients developed intractable hiccups, vomiting, impaired consciousness and status epilepticus. Diffusion-weighted MR imaging showed cortical and thalamic hyperintense lesions related to epileptic status. They improved after being submitted to continuous hemofiltration which constitutes the most effective treatment during the acute phase.

Authors+Show Affiliations

Service de neurologie, centre hospitalo-universitaire, BP 632, 97200 Fort-de-France, Martinique. asignate@orange.frNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

18755486

Citation

Signaté, A, et al. "[Star Fruit (Averrhoa Carambola) Toxic Encephalopathy]." Revue Neurologique, vol. 165, no. 3, 2009, pp. 268-72.
Signaté A, Olindo S, Chausson N, et al. [Star fruit (Averrhoa carambola) toxic encephalopathy]. Rev Neurol (Paris). 2009;165(3):268-72.
Signaté, A., Olindo, S., Chausson, N., Cassinoto, C., Edimo Nana, M., Saint Vil, M., Cabre, P., & Smadja, D. (2009). [Star fruit (Averrhoa carambola) toxic encephalopathy]. Revue Neurologique, 165(3), 268-72. https://doi.org/10.1016/j.neurol.2008.06.011
Signaté A, et al. [Star Fruit (Averrhoa Carambola) Toxic Encephalopathy]. Rev Neurol (Paris). 2009;165(3):268-72. PubMed PMID: 18755486.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Star fruit (Averrhoa carambola) toxic encephalopathy]. AU - Signaté,A, AU - Olindo,S, AU - Chausson,N, AU - Cassinoto,C, AU - Edimo Nana,M, AU - Saint Vil,M, AU - Cabre,P, AU - Smadja,D, Y1 - 2008/08/27/ PY - 2008/04/24/received PY - 2008/06/05/revised PY - 2008/06/20/accepted PY - 2008/8/30/pubmed PY - 2009/5/9/medline PY - 2008/8/30/entrez SP - 268 EP - 72 JF - Revue neurologique JO - Rev Neurol (Paris) VL - 165 IS - 3 N2 - Ingestion of star fruit (Averrhoa carambola) can induce severe intoxication in subjects with chronic renal failure. Oxalate plays a key role in the neurotoxicity of star fruit. We report the cases of two patients with unknown chronic renal insufficiency who developed severe encephalopathy after ingestion of star fruit. The two patients developed intractable hiccups, vomiting, impaired consciousness and status epilepticus. Diffusion-weighted MR imaging showed cortical and thalamic hyperintense lesions related to epileptic status. They improved after being submitted to continuous hemofiltration which constitutes the most effective treatment during the acute phase. SN - 0035-3787 UR - https://www.unboundmedicine.com/medline/citation/18755486/[Star_fruit__Averrhoa_carambola__toxic_encephalopathy]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0035-3787(08)00454-2 DB - PRIME DP - Unbound Medicine ER -