1/2. Star fruit (Averrhoa carambola) intoxication: an important cause of consciousness disturbance in patients with renal failure.Star fruit intoxication is a rare cause of consciousness disturbance in patients with renal failure. Most cases in the literature are uremic patients on maintenance dialysis. We present a patient with chronic renal failure, who was not on dialysis program yet, suffered from star fruit intoxication with presentation of consciousness disturbance and successfully managed by a session of hemodialysis.- - - - - - - - - - ranking = 1keywords = fruit (Clic here for more details about this article) |
2/2. Chronic renal disease patients with severe star fruit poisoning: hemoperfusion may be an effective alternative therapy.We report a case of star fruit intoxication in a 60-yr-old male patient with a past medical history of diabetes mellitus and chronic renal failure. Clinical effects included hiccups, hearing impairment, urine retention, and disturbed consciousness. Star fruit intoxication was also the suspected cause of hypothermia, an unusual symptom. The patient remained comatose after receiving two sessions of hemodialysis. However, after a 6 h session of charcoal hemoperfusion following the second hemodialysis treatment, his consciousness returned to normal within 1 day. While no previous study on hemoperfusion therapy in star fruit intoxication has been reported, in view of the fatal outcome of star fruit intoxication in uremic patients, hemoperfusion may be an alternative therapy if intensified hemodialysis fails.- - - - - - - - - - ranking = 1.3333333333333keywords = fruit (Clic here for more details about this article) |