A case series on Averrhoa bilimbi induced acute oxalate nephropathy; an experience from a tertiary center in Kerala, India

Background: Averrhoa bilimbi is a commonly used fruit in South India for various home preparations and as a traditional remedy for hypercholesterolemia and hypertension. As it belongs to Oxalidaceae family, fruit has high oxalate content, causing calcium oxalate crystal deposition in renal tubules,...

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Published inJournal of nephropathology Vol. 7; no. 4; pp. 296 - 300
Main Authors Shemin Kooloth Mahamoodh, Zuhara, Nalumackal Vijayan, Seethalekshmy, Jojo, Annie
Format Journal Article
LanguageEnglish
Published Society of Diabetic Nephropathy Prevention 01.10.2018
Subjects
acute oxalate nephropathy
averrhoa bilimbi
irumban puli
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Summary:Background: Averrhoa bilimbi is a commonly used fruit in South India for various home preparations and as a traditional remedy for hypercholesterolemia and hypertension. As it belongs to Oxalidaceae family, fruit has high oxalate content, causing calcium oxalate crystal deposition in renal tubules, resulting in acute oxalate nephropathy (AON) when consumed in large quantities. Case Series: We present a series of 24 patients from 11 hospitals in the State of Kerala who developed acute renal failure after some days of intake of Irumban puli fruit juice. Seven patients needed hemodialysis while the other three improved with conservative management. Conclusions: We conclude that it is not safe to consume high oxalate containing fruits, especially in concentrated forms, that too in large quantities.
ISSN:2251-8363
2251-8819
DOI:10.15171/jnp.2018.59