Averrhoa bilimbi ingestion and acute kidney injury: A case series

Madhura AR, Jayaraj PM

Pdf Page Numbers :- 45-49

Madhura AR^1,* and Jayaraj PM²

¹Department of General Medicine, Mother Hospital, Thrissur, Kerala-680012, India

²Department of Nephrology, Mother Hospital, Thrissur, Kerala-680012, India

*Corresponding author: Dr. Madhura AR, Senior Resident, Department of General Medicine, Mother Hospital, Thrissur, Kerala-680012, India. Mobile: 09611847280; Email: madhura140@gmail.com

Received 10 September 2020; Revised 25 November 2020; Accepted 11 December 2020; Published 19 December 2020

Citation: Madhura AR, Jayaraj PM. Averrhoa bilimbi ingestion and acute kidney injury: A case series. J Med Sci Res. 2021; 9(1):45-49. DOI: http://dx.doi.org/10.17727/JMSR.2021/9-8

Copyright: © 2021 Madhura AR et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

Averrhoa bilimbi (Irumban puli) is commonly used in South India for variety of household preparations and also as a remedy for hypertension, diabetes and dyslipidemia. The fruit has very high oxalate content which, when consumed in large quantities, forms calcium oxalate crystals in the renal tubules. These crystals get adhered to the tubular cells and cause cell necrosis resulting in acute kidney injury. We describe a series of 4 such cases who presented to us in acute renal failure after consumption of Averrhoa bilimbi in excess. 3 out of 4 patients required hemodialysis. There was recovery of renal function at the end of 2-6 weeks.

Keywords: Averrhoa bilimbi; irumban puli; oxalate crystals; acute tubular necrosis; AKI