Star fruit intoxication in a patient with moderate renal insufficiency presents as a posterior reversible encephalopathy syndrome

Acta Neurologica Taiwanica

Volumn 19, Issue 4, 2010, Pages 287-291

  Chen, Shang Hang ^a   Tsai, Meng Hang ^a   Tseng, Yu Lung ^a   Lui, Chun Chung ^a   Chuang, Yao Chung ^a  

^a CHANG GUNG MEMORIAL HOSPITAL   (Taiwan)

Author keywords

Hemodialysis; Neurotoxin; Seizure; Star fruit intoxication

Indexed keywords

VALPROIC ACID;

AGED; ARTICLE; BEHAVIOR CHANGE; BRAIN DAMAGE; CASE REPORT; CLINICAL ASSESSMENT; COMA; ECHOLALIA; FEMALE; FOOD POISONING; FRUIT; HEMODIALYSIS; HICCUP; HUMAN; KIDNEY FAILURE; NAUSEA; NON INSULIN DEPENDENT DIABETES MELLITUS; NUCLEAR MAGNETIC RESONANCE IMAGING; OCCIPITAL LOBE; POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME; SEIZURE;

AGED; BRAIN; DIFFUSION MAGNETIC RESONANCE IMAGING; ELECTROENCEPHALOGRAPHY; FEMALE; FRUIT; HUMANS; NEUROTOXICITY SYNDROMES; RENAL INSUFFICIENCY;

EID: 79551703306     PISSN: 10196099     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (14)

1. Margen S. The Wellness Encyclopedia of Food and Nutrition. New York (NY): Health Letter Assoc, 1992:271-282.
2. Chang JM, Hwang SJ, Kuo HT, Tsai JC, Guh JY, Chen HC, Tsai JH, Lai YH. Fatal outcome after ingestion of star fruit (Averrhoa carambola) in uremic patients. Am J Kidney Dis 2000;35:189-193.
3. Neto MM, da Costa JA, Garcia-Cairasco N, Netto JC, Nakagawa B, Dantas M. Intoxication by star fruit (Averrhoa carambola) in 32 uraemic patients: treatment and outcome. Nephrol Dial Transplant 2003;18:120-125. (Pubitemid 36104487)
4. Tsai MH, Chang WN, Lui CC, Chung KJ, Hsu KT, Huang CR, Lu CH, Chuang YC. Status epilepticus induced by star fruit intoxication in patients with chronic renal disease. Seizure 2005;14:521-525.
5. Herbland A, El Zein I, Valentino R, Cassinotto C, Meunier C, Rieux D, Mehdaoui H. Star fruit poisoning is potentially life-threatening in patients with moderate chronic renal failure. Intensive Care Med 2009;35:1459-1463.
6. Brouns R, De Deyn PP. Neurological complications in renal failure: a review. Clin Neurol Neurosurg 2004;107:1-16. (Pubitemid 39556672)
7. Muir CK, Lam CK. Depressant action of averrhoa carambola. Med J Malaysia 1980;34:279-280. (Pubitemid 11239968)
8. Cassinotto C, Mejdoubi M, Signate A, Herbland A, Olindo S, Deramond H. MRI findings in star-fruit intoxication. J Neuroradiol 2008;35:217-223.
9. Chan YL, Ng HK, Leung CB, Yeung DK. (31)phosphorous and single voxel proton MR spectroscopy and diffusion-weighted imaging in a case of star fruit poisoning. AJNR Am J Neuroradiol 2002;23:1557-1560. (Pubitemid 35154998)
10. Striano P, Striano S. Comment to: Status epilepticus induced by star fruit intoxication in patients with chronic renal disease. Seizure 2006;15:355-356.
11. Chan CK, Li R, Shum HP, Lo SH, Chan KK, Wong KS, Tsoi TH, Yan WW. Star fruit intoxication successfully treated by charcoal haemoperfusion and intensive haemofiltration. Hong Kong Med J 2009;15:149-152.
12. Wu MY, Wu IW, Wu SS, Lin JL. Hemoperfusion as an effective alternative therapy for star fruit intoxication: a report of 2 cases. Am J Kidney Dis 2007;49:e1-e5.
13. Hinchey J, Chaves C, Appignani B, Breen J, Pao L, Wang A, Pessin MS, Lamy C, Mas JL, Caplan LR. A reversible leucoencephalopathy syndrome. N Engl J Med 1996;22:494-500.
14. Doelken M, Lanz S, Rennert J, Alibek S, Richter G, Doerfler A. Differentiation of cytotoxic and vasogenic edema in a patient with reversible posterior leukoencephalopathy syndrome using diffusion-weighted MRI. Diagn Interv Radiol 2007:13:125-128. (Pubitemid 47354344)