title: Acute oxalate nephropathy due to 'Averrhoa bilimbi' fruit juice ingestion.
abstract: 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.
authors: Department of Nephrology, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.
authors: G
authors: G
authors: Bakul
authors: V N
authors: VN
authors: Unni
authors: N V
authors: NV
authors: Seethaleksmy
authors: A
authors: A
authors: Mathew
authors: R
authors: R
authors: Rajesh
authors: G
authors: G
authors: Kurien
authors: J
authors: J
authors: Rajesh
authors: P M
authors: PM
authors: Jayaraj
authors: D S
authors: DS
authors: Kishore
authors: P P
authors: PP
authors: Jose
keywords: Acute oxalate nephropathy; Averrhoa bilimbi; Irumban puli; calcium oxalate
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