title: [Star fruit as a cause of acute kidney injury].
abstract: The star fruit belongs to the family Oxalidacea, species Averrhoa carambola. It is rich in minerals, vitamin A, C, B complex vitamins and oxalic acid. Recent studies show that the toxicity of the fruit differs between the patients and may be explained by single biological responses, age, and the intake quantity of the neurotoxin in each fruit in addition to glomerular filtration rate given by each patient. Additionally, the nephrotoxicity caused by the fruit is dose-dependent and may lead to the deposition of crystals of calcium oxalate intratubular, as well as by direct injury to the renal tubular epithelium, leading to apoptosis of the same. We report the case of a patient who after ingestion of the juice and fresh fruit, developed acute renal failure requiring dialysis, evolving with favourable outcome and recovery of renal function.
authors: Hospital do Servidor Público Estadual.
authors: Karilla Lany
authors: KL
authors: Scaranello
authors: Hospital do Servidor Público Estadual.
authors: Valeria Regina de Cristo
authors: VR
authors: Alvares
authors: Hospital do Servidor Público Estadual.
authors: Daniely Maria Queiroz
authors: DM
authors: Carneiro
authors: Hospital do Servidor Público Estadual.
authors: Flávio Henrique Soares
authors: FH
authors: Barros
authors: Hospital do Servidor Público Estadual.
authors: Thais Marques Sanches
authors: TM
authors: Gentil
authors: Hospital do Servidor Público Estadual.
authors: Myriam José
authors: MJ
authors: Thomaz
authors: Hospital do Servidor Público Estadual.
authors: Benedito Jorge
authors: BJ
authors: Pereira
authors: Hospital do Servidor Público Estadual.
authors: Mariana Batista
authors: MB
authors: Pereira
authors: Hospital do Servidor Público Estadual.
authors: Graziella Malzoni
authors: GM
authors: Leme
authors: Hospital do Servidor Público Estadual.
authors: Mary Carla Esteves
authors: MC
authors: Diz
authors: Hospital do Servidor Público Estadual.
authors: Sandra Maria Rodrigues
authors: SM
authors: Laranja
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology*; D000328:Adult; D065826:Averrhoa; D005260:Female; D005638:Fruit / Q000009:adverse effects*; D006801:Humans