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Acute kidney injury following ingestion of raw fish gallbladder of Indian Crap (Labeo Rohita): Thirty case series during 1975–2018
Amod Chandra Mahakur1, Himanshu Sekhar Mahapatra2
1 Department of Nephrology, Kalinga Hospital, Bhubaneswar, Odisha, India
2 Department of Nephrology, ABVIMS, Dr R. M.L. Hospital, New Delhi, India
Correspondence Address:
Himanshu Sekhar Mahapatra,
307, Admn Block, ABVIMS, Dr R.M.L. Hospital, New Delhi
India
 Source of Support: None, Conflict of Interest: None DOI: 10.4103/ijn.ijn_555_21
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Introduction: Ayurveda describes using desiccated and well-processed gallbladder of Indian carp (Labeorohita) as a traditional remedy for some diseases. People consume it irrationally following the hearsay advice for all types of chronic diseases. Methods: Here we report 30 sporadic cases of acute kidney injury (AKI) following ingestion of raw gallbladder of Indian carp during 1975–2018 (44 years). Results: Most of the victims were males (83.3%) with an average age of 37.7 years. The mean onset of symptoms was 2 to 12 hours after ingestion. All patients presented as acute gastroenteritis and AKI. Among them, 22 (73.33%) needed urgent dialysis, and 18 (81.81%) of them recovered with four (18.18%) deaths. Eight patients (26.6%) were managed conservatively, of which seven (87.5%) recovered with one (12.5%) death. Septicemia, myocarditis, and acute respiratory distress syndrome were the causes of death. Conclusions: This longest four-decade case series highlights that indiscriminate ingestion of raw fish gallbladder by unqualified prescription results in toxic AKI with multiple organ dysfunction and death.
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