title: A case of life-threatening acute kidney injury with toxic encephalopathy caused by Dioscorea quinqueloba.
abstract: Some herbal medications induce acute kidney injury. The acute kidney injuries caused by herbal medications are mild and commonly treated by palliative care. A 51-years-old man who drank the juice squeezed from the raw tubers of Dioscorea quinqueloba (D. quinqueloba) was admitted with nausea, vomiting and chilling. He developed a seizure with decreased level of consciousness. He was diagnosed with acute kidney injury, which was cured by continuous venovenous hemodialfiltration. Non-detoxified D. quinqueloba can cause severe acute kidney injury with toxic encephalopathy. It is critical to inform possible adverse effects of the medicinal herbs and to implement more strict regulation of these products.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
authors.forename: Kyung-Sik
authors.initials: KS
authors.lastname: Kang
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. cby6908@yuhs.ac.
authors.forename: Sang Taek
authors.initials: ST
authors.lastname: Heo
mesh_terms: D058186:Acute Kidney Injury / Q000139:chemically induced* / Q000150:complications*; D027742:Dioscorea / Q000009:adverse effects*; D018450:Disease Progression; D004569:Electroencephalography; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D020258:Neurotoxicity Syndromes / Q000150:complications*
keywords: Dioscorea quinqueloba; acute kidney injury; encephalopathy