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Article: Star fruit intoxication in uraemic patients: case series and review of the literature.

TitleStar fruit intoxication in uraemic patients: case series and review of the literature.
Authors
Issue Date2003
PublisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/IMJ
Citation
Internal Medicine Journal, 2003, v. 33 n. 7, p. 314-316 How to Cite?
AbstractStar fruit, belonging to the Oxalidaceae family, species Averrhoa carambola, is a popular fruit among Orientals. There have been reports of hiccup, confusion, and occasional fatal outcomes in uraemic patients after ingestion of star fruit. An excitatory neurotoxin from star fruit has been implicated although the exact nature of this toxic substance has not been identified. A group of seven patients is described from the dialysis centres at Queen Mary and Tung Wah Hospitals who developed symptoms including hiccup, confusion, vomiting, impaired consciousness, muscle twitching and hyperkalaemia shortly after ingestion of star fruit. Symptoms of most patients resolved after intensified dialysis or spontaneously, and no mortality was observed. The close temporal relationship of ingestion of star fruit and onset of symptoms strongly suggests the existence of a causal relationship between the two. It is recommended that uraemic patients should totally abstain from star fruit due to these rare but potentially fatal complications. The clinical manifestations of other reported series and current evidence for the possible candidate(s) of the neurotoxin are discussed.
Persistent Identifierhttp://hdl.handle.net/10722/162751
ISSN
2015 Impact Factor: 1.526
2015 SCImago Journal Rankings: 0.616
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorTse, KCen_HK
dc.contributor.authorYip, PSen_HK
dc.contributor.authorLam, MFen_HK
dc.contributor.authorChoy, BYen_HK
dc.contributor.authorLi, FKen_HK
dc.contributor.authorLui, SLen_HK
dc.contributor.authorLo, WKen_HK
dc.contributor.authorChan, TMen_HK
dc.contributor.authorLai, KNen_HK
dc.date.accessioned2012-09-05T05:23:05Z-
dc.date.available2012-09-05T05:23:05Z-
dc.date.issued2003en_HK
dc.identifier.citationInternal Medicine Journal, 2003, v. 33 n. 7, p. 314-316en_HK
dc.identifier.issn1444-0903en_HK
dc.identifier.urihttp://hdl.handle.net/10722/162751-
dc.description.abstractStar fruit, belonging to the Oxalidaceae family, species Averrhoa carambola, is a popular fruit among Orientals. There have been reports of hiccup, confusion, and occasional fatal outcomes in uraemic patients after ingestion of star fruit. An excitatory neurotoxin from star fruit has been implicated although the exact nature of this toxic substance has not been identified. A group of seven patients is described from the dialysis centres at Queen Mary and Tung Wah Hospitals who developed symptoms including hiccup, confusion, vomiting, impaired consciousness, muscle twitching and hyperkalaemia shortly after ingestion of star fruit. Symptoms of most patients resolved after intensified dialysis or spontaneously, and no mortality was observed. The close temporal relationship of ingestion of star fruit and onset of symptoms strongly suggests the existence of a causal relationship between the two. It is recommended that uraemic patients should totally abstain from star fruit due to these rare but potentially fatal complications. The clinical manifestations of other reported series and current evidence for the possible candidate(s) of the neurotoxin are discussed.en_HK
dc.languageengen_US
dc.publisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/IMJen_HK
dc.relation.ispartofInternal medicine journalen_HK
dc.subject.meshAcute Kidney Injury - Complications - Diagnosis - Therapyen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshFemaleen_US
dc.subject.meshFollow-Up Studiesen_US
dc.subject.meshFruit - Poisoningen_US
dc.subject.meshHong Kongen_US
dc.subject.meshHumansen_US
dc.subject.meshKidney Function Testsen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshNeurotoxicity Syndromes - Etiologyen_US
dc.subject.meshNeurotoxins - Adverse Effectsen_US
dc.subject.meshPlant Poisoning - Complications - Diagnosis - Mortalityen_US
dc.subject.meshRenal Dialysisen_US
dc.subject.meshRisk Assessmenten_US
dc.subject.meshSampling Studiesen_US
dc.subject.meshSeverity Of Illness Indexen_US
dc.subject.meshSurvival Analysisen_US
dc.subject.meshTreatment Outcomeen_US
dc.subject.meshUremia - Complications - Diagnosis - Mortality - Therapyen_US
dc.titleStar fruit intoxication in uraemic patients: case series and review of the literature.en_HK
dc.typeArticleen_HK
dc.identifier.emailChan, TM: dtmchan@hku.hken_HK
dc.identifier.emailLai, KN: knlai@hku.hken_HK
dc.identifier.authorityChan, TM=rp00394en_HK
dc.identifier.authorityLai, KN=rp00324en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid12823678-
dc.identifier.scopuseid_2-s2.0-0642275020en_HK
dc.identifier.hkuros87959-
dc.identifier.volume33en_HK
dc.identifier.issue7en_HK
dc.identifier.spage314en_HK
dc.identifier.epage316en_HK
dc.identifier.isiWOS:000183796700010-
dc.publisher.placeAustraliaen_HK
dc.identifier.scopusauthoridTse, KC=7102609864en_HK
dc.identifier.scopusauthoridYip, PS=14219904600en_HK
dc.identifier.scopusauthoridLam, MF=35300050600en_HK
dc.identifier.scopusauthoridChoy, BY=7003465499en_HK
dc.identifier.scopusauthoridLi, FK=55210612400en_HK
dc.identifier.scopusauthoridLui, SL=7102379130en_HK
dc.identifier.scopusauthoridLo, WK=7201502414en_HK
dc.identifier.scopusauthoridChan, TM=7402687700en_HK
dc.identifier.scopusauthoridLai, KN=7402135706en_HK

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