title: Acute kidney injury associated with ingestion of star fruit: Acute oxalate nephropathy.
abstract: Starfruit (Averrhoa carambola) and its juice are popular in the Indian subcontinent as an indigenous medicine. Oxalate concentration in this fruit and it's freshly prepared juice is very high. We present a report of patients presenting with acute kidney injury due to oxalate nephropathy admitted in a single center. All patients had history of ingesting star fruit. Patients became symptomatic after 10-12 h of eating and main symptoms were pain abdomen and decrease in urine output. Three patients needed hemodialysis. All improved with complete renal recovery. Taking star fruit in large amount on an empty stomach and in a dehydrated state is a risk factor for nephrotoxicity.
authors.affiliation: Department of Nephrology, Gauhati Medical College, Guwahati, Assam, India.
authors.forename: A K
authors.initials: AK
authors.lastname: Barman
authors.affiliation: Department of Nephrology, Gauhati Medical College, Guwahati, Assam, India.
authors.forename: R
authors.initials: R
authors.lastname: Goel
authors.affiliation: Department of Nephrology, Gauhati Medical College, Guwahati, Assam, India.
authors.forename: M
authors.initials: M
authors.lastname: Sharma
authors.affiliation: Department of Nephrology, Gauhati Medical College, Guwahati, Assam, India.
authors.forename: P J
authors.initials: PJ
authors.lastname: Mahanta
keywords: Acute kidney injury; oxalate nephropathy; star fruit