Hong Kong Med J 2009;15:149-52 | Number 2, April 2009
Star fruit intoxication successfully treated by charcoal haemoperfusion and intensive haemofiltration
CK Chan, Richard Li, HP Shum, Stanley HK Lo, Kenny KC Chan, KS Wong, TH Tsoi, WW Yan
Department of Medicine, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong
We report on a case of an elderly woman with chronic renal impairment, secondary to diabetic nephropathy, who developed a deep coma and seizure shortly after consumption of star fruit. She was managed in the intensive care unit, and her consciousness level improved dramatically after an 8-hour charcoal haemoperfusion and 30 hours of continuous haemofiltration. There were no long-term neurological or renal sequelae 9 months later. Early recognition of this condition, intensive dialytic therapy and supportive measures, as well as early initiation of charcoal haemoperfusion may improve the management of this potentially treatable condition.
Key words: Diabetic nephropathies; Food poisoning; Fruit/poisoning; Kidney
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