| CASE REPORT |
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| Year : 2013 | Volume
: 23
| Issue : 4 | Page : 297-300 |
Acute oxalate nephropathy due to 'Averrhoa bilimbi' fruit juice ingestion
G Bakul1, VN Unni1, NV Seethaleksmy2, A Mathew1, R Rajesh1, G Kurien1, J Rajesh3, PM Jayaraj4, DS Kishore5, PP Jose6
1 Department of Nephrology, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India
2 Department of Pathology, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India
3 Department of Nephrology, St. Gregorios Medical Mission Hospital, Parumala, Kerala, India
4 Department of Nephrology, Mother Hospital, Thrissur, Kerala, India
5 Department of Nephrology, MOSC Medical College Hospital, Kolenchery, Kerala, India
6 Department of Nephrology, Lissie Hospital, Ernakulam, Kerala, India
Correspondence Address:
V N Unni
Professor and Head, Department of Nephrology, Amrita Institute of Medical Sciences, Kochi, Kerala - 682 041
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0971-4065.114481
Irumban puli (Averrhoa bilimbi) is commonly used as a traditional remedy in the state of Kerala. Freshly made concentrated juice has a very high oxalic acid content and consumption carries a high risk of developing acute renal failure (ARF) by deposition of calcium oxalate crystals in renal tubules. Acute oxalate nephropathy (AON) due to secondary oxalosis after consumption of Irumban puli juice is uncommon. AON due to A. bilimbi has not been reported before. We present a series of ten patients from five hospitals in the State of Kerala who developed ARF after intake of I. puli fruit juice. Seven patients needed hemodialysis whereas the other three improved with conservative management.
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