Tags

Type your tag names separated by a space and hit enter

Severe encephalopathy after ingestion of star fruit juice in a patient with chronic renal failure admitted to the intensive care unit.
Heart Lung. 2010 Sep-Oct; 39(5):448-52.HL

Abstract

Star fruit (Averrhoa carambola) is a popular tropical fruit that is usually consumed as fresh fruit or fruit juice. Consumption of star fruit by patients with chronic renal failure can lead to neurologic symptoms. The present report describes the clinical course, management, and outcome of a patient with chronic renal failure admitted to an intensive care unit after ingestion of star fruit juice 2 days before hospital admission. A case of nausea, vomiting, intractable hiccups, and severe encephalopathy along with mental confusion, disorientation, agitation, and seizures in a 53-year-old woman is presented. The patient's ventilatory pattern worsened, with development of dyspnea and tachypnea, which resulted in her transfer to an intensive care unit. Although hemodialysis was performed and the septic shock was adequately treated, the patient died on the fifth day after hospital admission. The susceptibility of patients with chronic renal failure to star fruit and the severity of intoxication are poorly known by intensivists. This case demonstrates that star fruit consumption should be considered as a cause of rapid deterioration in the renal function of patients with underlying chronic renal failure, potentially resulting in a fatal outcome.

Authors+Show Affiliations

Centro de Terapia Intensiva (Campus), Departamento de Cirurgia e Anatomia, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo-HCFMRP-USP, Bairro Monte Alegre, Ribeirão Preto, SP, Brasil.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

20561840

Citation

Auxiliadora-Martins, Maria, et al. "Severe Encephalopathy After Ingestion of Star Fruit Juice in a Patient With Chronic Renal Failure Admitted to the Intensive Care Unit." Heart & Lung : the Journal of Critical Care, vol. 39, no. 5, 2010, pp. 448-52.
Auxiliadora-Martins M, Alkmin Teixeira GC, da Silva GS, et al. Severe encephalopathy after ingestion of star fruit juice in a patient with chronic renal failure admitted to the intensive care unit. Heart Lung. 2010;39(5):448-52.
Auxiliadora-Martins, M., Alkmin Teixeira, G. C., da Silva, G. S., Viana, J. M., Nicolini, E. A., Martins-Filho, O. A., & Basile-Filho, A. (2010). Severe encephalopathy after ingestion of star fruit juice in a patient with chronic renal failure admitted to the intensive care unit. Heart & Lung : the Journal of Critical Care, 39(5), 448-52. https://doi.org/10.1016/j.hrtlng.2009.09.003
Auxiliadora-Martins M, et al. Severe Encephalopathy After Ingestion of Star Fruit Juice in a Patient With Chronic Renal Failure Admitted to the Intensive Care Unit. Heart Lung. 2010 Sep-Oct;39(5):448-52. PubMed PMID: 20561840.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Severe encephalopathy after ingestion of star fruit juice in a patient with chronic renal failure admitted to the intensive care unit. AU - Auxiliadora-Martins,Maria, AU - Alkmin Teixeira,Gil Cezar, AU - da Silva,Graciana Soares, AU - Viana,Jaciara Machado, AU - Nicolini,Edson Antônio, AU - Martins-Filho,Olindo Assis, AU - Basile-Filho,Anibal, Y1 - 2009/12/11/ PY - 2009/07/28/received PY - 2009/09/03/revised PY - 2009/09/09/accepted PY - 2010/6/22/entrez PY - 2010/6/22/pubmed PY - 2011/6/17/medline SP - 448 EP - 52 JF - Heart & lung : the journal of critical care JO - Heart Lung VL - 39 IS - 5 N2 - Star fruit (Averrhoa carambola) is a popular tropical fruit that is usually consumed as fresh fruit or fruit juice. Consumption of star fruit by patients with chronic renal failure can lead to neurologic symptoms. The present report describes the clinical course, management, and outcome of a patient with chronic renal failure admitted to an intensive care unit after ingestion of star fruit juice 2 days before hospital admission. A case of nausea, vomiting, intractable hiccups, and severe encephalopathy along with mental confusion, disorientation, agitation, and seizures in a 53-year-old woman is presented. The patient's ventilatory pattern worsened, with development of dyspnea and tachypnea, which resulted in her transfer to an intensive care unit. Although hemodialysis was performed and the septic shock was adequately treated, the patient died on the fifth day after hospital admission. The susceptibility of patients with chronic renal failure to star fruit and the severity of intoxication are poorly known by intensivists. This case demonstrates that star fruit consumption should be considered as a cause of rapid deterioration in the renal function of patients with underlying chronic renal failure, potentially resulting in a fatal outcome. SN - 1527-3288 UR - https://www.unboundmedicine.com/medline/citation/20561840/Severe_encephalopathy_after_ingestion_of_star_fruit_juice_in_a_patient_with_chronic_renal_failure_admitted_to_the_intensive_care_unit_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0147-9563(09)00233-7 DB - PRIME DP - Unbound Medicine ER -