title: [Acute renal failure caused by plant extract].
abstract: The authors review the case of a 30 years old female patient presenting with a 48 hours-standing anuria, who permanently used products of grist of a virtuous plant, Guarana and occasionally used a parenteral non-steroid painkiller. The clinical history and laboratory results showed acute renal and hepatic failure. The histological picture of the renal biopsy specimen verified an acute tubular necrosis. After temporary dialysis treatment, her renal function recovered progressively with compensatory polyuria. The authors would like to draw the attention to the risks of the use of over-the-counter marketed paramedicinal products, per se or in combination with pharmaceutically registered products, sold in pharmacies and nutrition supplement stores.
authors.affiliation: Pécsi Tudományegyetem, Altalános Orvostudományi Kar II. Belgyógyászati Klinika és Nephrológiai Centrum, Pécs, Hungary.
authors.forename: Katalin
authors.initials: K
authors.lastname: Vágási
authors.forename: Péter
authors.initials: P
authors.lastname: Degrell
authors.forename: István
authors.initials: I
authors.lastname: Késoi
authors.forename: Tibor
authors.initials: T
authors.lastname: Kovács
authors.forename: István
authors.initials: I
authors.lastname: Pintér
authors.forename: Béla
authors.initials: B
authors.lastname: Molnár
authors.forename: Judit
authors.initials: J
authors.lastname: Cseh
authors.forename: Judit
authors.initials: J
authors.lastname: Nagy
authors.forename: István
authors.initials: I
authors.lastname: Wittmann
mesh_terms: D058186:Acute Kidney Injury / Q000139:chemically induced* / Q000175:diagnosis* / Q000628:therapy; D000328:Adult; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007684:Kidney Tubules / Q000187:drug effects* / Q000473:pathology*; D017114:Liver Failure, Acute / Q000139:chemically induced / Q000175:diagnosis; D009336:Necrosis / Q000139:chemically induced; D032126:Paullinia / Q000009:adverse effects*; D010936:Plant Extracts / Q000009:adverse effects; D006435:Renal Dialysis
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D010936:Plant Extracts