Sustained low-efficiency daily diafiltration with hemoperfusion as a therapy for severe star fruit intoxication: A report of two cases

Renal Failure

Volumn 33, Issue 8, 2011, Pages 837-841

  Wu, Chia Lin ^a   Chiu, Ping Fang ^a   Yang, Yu ^a   Wen, Yao Ko ^a   Chiu, Chun Ching ^a   Chang, Chia Chu ^a  

^a CHANGHUA CHRISTIAN HOSPITAL   (Taiwan)

Author keywords

Chronic kidney disease; Hemoperfusion; Star fruit intoxication; Status epilepticus; Sustained low efficiency daily diafiltration

Indexed keywords

CHARCOAL; DIAZEPAM; ETIRACETAM; LORAZEPAM; MIDAZOLAM; PROPOFOL; VALPROIC ACID;

ADULT; AGED; ANTICONVULSANT THERAPY; ARTICLE; CASE REPORT; CEREBROSPINAL FLUID CYTOLOGY; CHRONIC KIDNEY DISEASE; CLINICAL EXAMINATION; COMA; COMATOSE PATIENT; COMPUTER ASSISTED TOMOGRAPHY; CONFUSION; DIABETIC NEPHROPATHY; DIAFILTRATION; DIFFUSION WEIGHTED IMAGING; DISEASE SEVERITY; EPILEPTIC STATE; FEMALE; FOOD POISONING; GLASGOW COMA SCALE; HEMODIALYSIS; HEMOFILTRATION; HEMOPERFUSION; HICCUP; HOSPITAL INFECTION; HOSPITALIZATION; HUMAN; HYPERTENSION; KIDNEY FAILURE; LABORATORY TEST; MALE; NEUROIMAGING; NUCLEAR MAGNETIC RESONANCE IMAGING; PHYSICAL EXAMINATION; PRIORITY JOURNAL; SEIZURE; SEPTICEMIA; STAR FRUIT INTOXICATION; SUSTAINED LOW EFFICIENCY DAILY DIAFILTRATION; TONIC CLONIC SEIZURE; TREATMENT OUTCOME; VENTILATOR ASSOCIATED PNEUMONIA;

AGED; FEMALE; FOODBORNE DISEASES; FRUIT; HEMODIAFILTRATION; HEMOPERFUSION; HUMANS; MALE; MIDDLE AGED; SEVERITY OF ILLNESS INDEX;

EID: 80052224182     PISSN: 0886022X     EISSN: 15256049     Source Type: Journal    
DOI: 10.3109/0886022X.2011.599048     Document Type: Article

References (29)

1. Neto MM, Robl F, Netto JC. Intoxication by star fruit (Averrhoa carambola) in six dialysis patients? (Preliminary report). Nephrol Dial Transplant. 1998;13(3):570-572. (Pubitemid 28119034)
2. Chang JM, Hwang SJ, Kuo HT, et al. Fatal outcome after ingestion of star fruit (Averrhoa carambola) in uremic patients. Am J Kidney Dis. 2000;35(2):189-193.
3. Chang CT, Chen YC, Fang JT, Huang CC. Star fruit (Averrhoa carambola) intoxication: An important cause of consciousness disturbance in patients with renal failure. Ren Fail. 2002;24(3):379-382.
4. 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(1):120-125. (Pubitemid 36104487)
5. Tsai MH, Chang WN, Lui CC, et al. Status epilepticus induced by star fruit intoxication in patients with chronic renal disease. Seizure. 2005;14(7):521-525.
6. Chan CK, Li R, Shum HP, et al. Star fruit intoxication successfully treated by charcoal hemoperfusion and intensive hemofiltration. Hong Kong Med J. 2009;15(2):149-152.
7. Lund B, Seifert SA, Mayersohn M. Efficacy of sustained lowefficiency dialysis in the treatment of salicylate toxicity. Nephrol Dial Transplant. 2005;20(7):1483-1484. (Pubitemid 41430626)
8. Fliser D, Kielstein JT. Technology insight: Treatment of renal failure in the intensive care unit with extended dialysis. Nat Clin Pract Nephrol. 2006;2(1):32-39. (Pubitemid 43355243)
9. Khan E, Huggan P, Celi L, MacGinley R, Schollum J, Walker R. Sustained low-efficiency dialysis with filtration (SLEDD-f) in the management of acute sodium valproate intoxication. Hemodial Int. 2008;12(2):211-214. (Pubitemid 351494273)
10. Fang HC, Chen CL, Wang JS, et al. Acute oxalate nephropathy induced by star fruit in rats. Am J Kidney Dis. 2001;38(4): 876-880.
11. Chen CL, Fang HC, Chou KJ, Wang JS, Chung HM. Acute oxalate nephropathy after ingestion of star fruit. Am J Kidney Dis. 2001;37(2):418-422.
12. Neto MM, Silva GEB, Costa RS, et al. Star fruit: Simultaneous neurotoxic and nephrotoxic effects in people with previously normal renal function. NDT Plus. 2009;2(6):485-488.
13. Carolino RO, Beleboni RO, Pizzo AB, et al. Convulsant activity and neurochemical alterations induced by a fraction obtained from fruit Averrhoa carambola (Oxalidaceae: Geraniales). Neurochem Int. 2005;46(7):523-531. (Pubitemid 40544399)
14. 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(1):e1-e5.
15. Garcia Cairasco N, Castro OW, Leite-Santos F, et al. A comparative study of status epilepticus, spontaneous recurrent seizures and neurodegeneration induced by intrahippocampal microinjections of pilocarpine and caramboxin, a star fruit neurotoxin, in Wistar adult male rats. Epilepsia. 2007;48(S6): 282-283.
16. Auxiliadora-Martins M, Alkmin Teixeira GC, da Silva GS, et al. Severe encephalopathy after ingestion of star fruit juice in a patient with chronic renal failure admitted to the intensive care unit. Heart and Lung. 2009;39(5):448-452.
17. Chen LL, Fang JT, Lin JL. Chronic renal disease patients with severe star fruit poisoning: Hemoperfusion may be an effective alternative therapy. Clin Toxicol (Phila). 2005;43(3): 197-199.
18. Herbland A, El Zein I, Valentino R, et al. Star fruit poisoning is potentially life-threatening in patients with moderate chronic renal failure. Intensive Care Med. 2009;35(8):1459-1463.
19. Signate A, Olindo S, Chausson N, et al. Star fruit (Averrhoa carambola) toxic encephalopathy. Rev Neurol (Paris). 2009;165(3):268-272.
20. Cassinotto C, Mejdoubi M, Signate A, Herbland A, Olindo S, Deramond H. MRI findings in star-fruit intoxication. J Neuroradiol. 2008;35(4):217-223.
21. Huang BY, Chen CL, Chou KJ, Lai PH. Status epilepticus and irreversible brain damage after consumption of star fruit in a chronic renal failure patient: A case report. J Taiwan Emerg Med. 2009;11:123-127.
22. Cooper AD, Britton JW, Rabinstein AA. Functional and cognitive outcome in prolonged refractory status epilepticus. Arch Neurol. 2009;66(12):1505-1509.
23. Marshall MR, Ma T, Galler D, Rankin AP, Williams AB. Sustained low-efficiency daily diafiltration (SLEDD-f) for critically ill patients requiring renal replacement therapy: Towards an adequate therapy. Nephrol Dial Transplant. 2004;19(4): 877-884. (Pubitemid 38455659)
24. Holubek WJ, Hoffman RS, Goldfarb DS, Nelson LS. Use of hemodialysis and hemoperfusion in poisoned patients. Kidney Int. 2008;74(10):1327-1334.
25. Fiaccadori E, Maggiore U, Parenti E, Greco P, Cabassi A. Sustained low-efficiency dialysis (SLED) for acute lithium intoxication. NDT Plus. 2008;1(5):329-332.
26. Kielstein JT, Schwarz A, Arnavaz A, Sehlberg O, Emrich HM, Fliser D. High-flux hemodialysis-an effective alternative to hemoperfusion in the treatment of carbamazepine intoxication. Clin Nephrol. 2002;57(6):484-486. (Pubitemid 34625060)
27. Kielstein JT, Woywodt A, Schumann G, Haller H, Fliser D. Efficiency of high-flux hemodialysis in the treatment of valproic acid intoxication. J Toxicol Clin Toxicol. 2003;41(6): 873-876. (Pubitemid 37499018)
28. Kielstein JT, Linnenweber S, Schoepke T, Fliser D. One for all -A multi-use dialysis system for effective treatment of severe thallium intoxication. Kidney Blood Press Res. 2004;27(3): 197-199. (Pubitemid 39140433)
29. Berbece AN, Richardson RM. Sustained low-efficiency dialysis in the ICU: Cost, anticoagulation, and solute removal. Kidney Int. 2006;70(5):963-968. (Pubitemid 44285975)