Wong Jin Shyan, Ong Teng-Aik, Chua Hock-Hin, Tan Clare
Department of Medicine, Sarawak General Hospital, and Department of Surgery, Faculty of Medicine and Health Sciences, University Malaysia Sarawak, Malaysia.
Asian J Surg. 2007 Jan;30(1):80-1. doi: 10.1016/S1015-9584(09)60134-2.
Djenkol beans or jering (Pithecellobium jeringa) is a traditional delicacy consumed by the local population in Malaysia. Jering poisoning or djenkolism is characterized by spasmodic pain, urinary obstruction and acute renal failure. The underlying pathology is an obstructive nephropathy, which is usually responsive to aggressive hydration and diuretic therapy. We present a case of djenkolism following ingestion of jering. The patient required urgent bilateral ureteric stenting following the failure of conservative therapy. Healthcare providers need to recognize djenkolism as a cause of acute renal failure and the public educated on this potential health hazard.
爪哇豆或杰灵豆（猴耳环）是马来西亚当地居民食用的传统美味佳肴。杰灵豆中毒或爪哇豆中毒的特征是痉挛性疼痛、尿路梗阻和急性肾衰竭。其潜在病理是梗阻性肾病，通常对积极的补液和利尿治疗有反应。我们报告一例因食用杰灵豆导致爪哇豆中毒的病例。保守治疗失败后，患者需要紧急进行双侧输尿管支架置入术。医疗保健人员需要认识到爪哇豆中毒是急性肾衰竭的一个病因，并对公众进行关于这种潜在健康危害的教育。
