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 CASE REPORT
Year : 2016  |  Volume : 26  |  Issue : 6  |  Page : 446-448

Acute kidney injury associated with ingestion of star fruit: Acute oxalate nephropathy


Department of Nephrology, Gauhati Medical College, Guwahati, Assam, India

Correspondence Address:
A K Barman
Department of Nephrology, Gauhati Medical College and Hospital, Guwahati - 781 032, Assam
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-4065.175978

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Starfruit (Averrhoa carambola) and its juice are popular in the Indian subcontinent as an indigenous medicine. Oxalate concentration in this fruit and it's freshly prepared juice is very high. We present a report of patients presenting with acute kidney injury due to oxalate nephropathy admitted in a single center. All patients had history of ingesting star fruit. Patients became symptomatic after 10-12 h of eating and main symptoms were pain abdomen and decrease in urine output. Three patients needed hemodialysis. All improved with complete renal recovery. Taking star fruit in large amount on an empty stomach and in a dehydrated state is a risk factor for nephrotoxicity.






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Indian Journal of Nephrology
Published by Wolters Kluwer - Medknow
Online since 20th Sept '07