Niticharoenpong Kannika, Chalermsanyakorn Panas, Panvichian Ravat, Kitiyakara Chagriya
Department of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok-Thailand.
J Nephrol. 2006 Sep-Oct;19(5):682-6.
Star fruit (carambola) is a popular tropical fruit, usually consumed as fresh fruit or as fruit juice. In patients on dialysis, consumption of star fruits can lead to alterations of consciousness. In this case report, we describe a patient with underlying chronic kidney disease, who developed a rapid increase in serum creatinine and oxalate nephropathy after chronic ingestion of star fruit juice without overt neurotoxicity. The decline in renal function was not fully reversible after stoppage. This case demonstrates that star fruit consumption should be considered as a cause of rapid deterioration in renal function in patients with underlying chronic kidney disease that may result in permanent renal injury.
杨桃是一种常见的热带水果，通常作为新鲜水果或果汁食用。对于接受透析的患者，食用杨桃会导致意识改变。在本病例报告中，我们描述了一名患有慢性肾脏病的患者，该患者在长期饮用杨桃汁后出现血清肌酐迅速升高和草酸盐肾病，且无明显神经毒性。停止饮用后肾功能下降未完全逆转。该病例表明，对于患有慢性肾脏病的患者，食用杨桃应被视为导致肾功能迅速恶化的一个原因，这可能会导致永久性肾损伤。
