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Star fruit intoxication successfully treated by charcoal haemoperfusion and intensive haemofiltration.
Hong Kong Med J. 2009 Apr; 15(2):149-52.HK

Abstract

We report on a case of an elderly woman with chronic renal impairment, secondary to diabetic nephropathy, who developed a deep coma and seizure shortly after consumption of star fruit. She was managed in the intensive care unit, and her consciousness level improved dramatically after an 8-hour charcoal haemoperfusion and 30 hours of continuous haemofiltration. There were no long-term neurological or renal sequelae 9 months later. Early recognition of this condition, intensive dialytic therapy and supportive measures, as well as early initiation of charcoal haemoperfusion may improve the management of this potentially treatable condition.

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Authors+Show Affiliations

Chan CK
Department of Medicine, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong. chanckit2002@yahoo.com.hk
Li R
No affiliation info available
Shum HP
No affiliation info available
Lo SH
No affiliation info available
Chan KK
No affiliation info available
Wong KS
No affiliation info available
Tsoi TH
No affiliation info available
Yan WW
No affiliation info available

MeSH

AgedCharcoalConsciousness DisordersDiabetic NephropathiesFemaleFoodborne DiseasesFruitHemofiltrationHemoperfusionHumansKidney Failure, ChronicPoisoning

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

19342744

Citation

Chan, C K., et al. "Star Fruit Intoxication Successfully Treated By Charcoal Haemoperfusion and Intensive Haemofiltration." Hong Kong Medical Journal = Xianggang Yi Xue Za Zhi, vol. 15, no. 2, 2009, pp. 149-52.
Chan CK, Li R, Shum HP, et al. Star fruit intoxication successfully treated by charcoal haemoperfusion and intensive haemofiltration. Hong Kong Med J. 2009;15(2):149-52.
Chan, C. K., Li, R., Shum, H. P., Lo, S. H., Chan, K. K., Wong, K. S., Tsoi, T. H., & Yan, W. W. (2009). Star fruit intoxication successfully treated by charcoal haemoperfusion and intensive haemofiltration. Hong Kong Medical Journal = Xianggang Yi Xue Za Zhi, 15(2), 149-52.
Chan CK, et al. Star Fruit Intoxication Successfully Treated By Charcoal Haemoperfusion and Intensive Haemofiltration. Hong Kong Med J. 2009;15(2):149-52. PubMed PMID: 19342744.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Star fruit intoxication successfully treated by charcoal haemoperfusion and intensive haemofiltration. AU - Chan,C K, AU - Li,R, AU - Shum,H P, AU - Lo,Stanley H K, AU - Chan,Kenny K C, AU - Wong,K S, AU - Tsoi,T H, AU - Yan,W W, PY - 2009/4/4/entrez PY - 2009/4/4/pubmed PY - 2009/5/9/medline SP - 149 EP - 52 JF - Hong Kong medical journal = Xianggang yi xue za zhi JO - Hong Kong Med J VL - 15 IS - 2 N2 - We report on a case of an elderly woman with chronic renal impairment, secondary to diabetic nephropathy, who developed a deep coma and seizure shortly after consumption of star fruit. She was managed in the intensive care unit, and her consciousness level improved dramatically after an 8-hour charcoal haemoperfusion and 30 hours of continuous haemofiltration. There were no long-term neurological or renal sequelae 9 months later. Early recognition of this condition, intensive dialytic therapy and supportive measures, as well as early initiation of charcoal haemoperfusion may improve the management of this potentially treatable condition. SN - 1024-2708 UR - https://www.unboundmedicine.com/medline/citation/19342744/Star_fruit_intoxication_successfully_treated_by_charcoal_haemoperfusion_and_intensive_haemofiltration_ L2 - http://www.hkmj.org/abstracts/v15n2/149.htm DB - PRIME DP - Unbound Medicine ER -