Acute anuric renal failure following jering bean ingestion.
Djenkol beans or jering (Pithecellobium jeringa) is a traditional delicacy consumed by the local population in Malaysia. Jering poisoning or djenkolism is characterized by spasmodic pain, urinary obstruction and acute renal failure. The underlying pathology is an obstructive nephropathy, which is usually responsive to aggressive hydration and diuretic therapy. We present a case of djenkolism following ingestion of jering. The patient required urgent bilateral ureteric stenting following the failure of conservative therapy. Healthcare providers need to recognize djenkolism as a cause of acute renal failure and the public educated on this potential health hazard.
Wong
Jin Shyan
JS
Department of Medicine, Sarawak General Hospital, and Department of Surgery, Faculty of Medicine and Health Sciences, University Malaysia Sarawak, Malaysia. jinswong@pd.jaring.my
Ong
Teng-Aik
TA
Chua
Hock-Hin
HH
Tan
Clare
C
D058186:Acute Kidney Injury / Q000139:chemically induced*; D001002:Anuria / Q000139:chemically induced*; D007887:Fabaceae / Q000506:poisoning*; D005517:Foodborne Diseases / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010946:Plants, Medicinal / Q000506:poisoning*