Zuhary TM, Ponampalam R. Acute kidney injury associated with consumption of starfruit juice: A case report. World J Crit Care Med 2022; 11(5): 330-334 [PMID: 36160937 DOI: 10.5492/wjccm.v11.i5.330]
Corresponding Author of This Article
Thajudeen Mohammed Zuhary, MBBS, Doctor, Department of Emergency Medicine, Singapore General Hospital, Outram Road, Singapore 169608, Singapore. thajudeen.mohd.zuhary@sgh.com.sg
Research Domain of This Article
Toxicology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Crit Care Med. Sep 9, 2022; 11(5): 330-334 Published online Sep 9, 2022. doi: 10.5492/wjccm.v11.i5.330
Acute kidney injury associated with consumption of starfruit juice: A case report
Thajudeen Mohammed Zuhary, R Ponampalam
Thajudeen Mohammed Zuhary, R Ponampalam, Department of Emergency Medicine, Singapore General Hospital, Singapore 169608, Singapore
Author contributions: Zuhary TM and Ponampalam R equally contributed to this case study.
Informed consent statement: Informed written consent was obtained from the patient.
Conflict-of-interest statement: All authors report no relevant conflict of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Thajudeen Mohammed Zuhary, MBBS, Doctor, Department of Emergency Medicine, Singapore General Hospital, Outram Road, Singapore 169608, Singapore. thajudeen.mohd.zuhary@sgh.com.sg
Received: January 6, 2022 Peer-review started: January 6, 2022 First decision: March 24, 2022 Revised: May 6, 2022 Accepted: July 18, 2022 Article in press: July 18, 2022 Published online: September 9, 2022
Abstract
BACKGROUND
This study aims to highlight the potential serious complications of acute kidney injury (AKI) resulting from the consumption of excessive amounts of starfruit, a common traditional remedy.
CASE SUMMARY
A 78-year-old male with a past medical history of hypertension, diabetes mellitus and hyperlipidemia without prior nephropathy presented to the emergency department (ED) with hiccups, nausea, vomiting and generalized weakness. In the preceding 1 wk, he had consumed 3 bottles of concentrated juice self-prepared from 1 kg of small sour starfruits. His serum creatinine was noted to be 1101 μmol/L from baseline normal prior to his ED visit. He was diagnosed with AKI secondary to excessive starfruit consumption.
CONCLUSION
Consumption of starfruit can cause acute renal failure, with a good outcome when promptly identified and treated.
Core Tip: Physicians should have a high index of suspicion on possible interactions and toxicities that may occur with the use of traditional medications in combination with prescription drugs in susceptible patients. This report highlights the toxicity of starfruit when consumed as a traditional remedy for diabetes mellitus resulting in acute kidney injury.
