1. Encéphalopathie toxique par ingestion de carambole (Averrhoa carambola)
- Author
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M. Edimo Nana, C. Cassinoto, Stéphane Olindo, Nicolas Chausson, M. Saint Vil, Philippe Cabre, Aissatou Signate, and Didier Smadja
- Subjects
medicine.medical_specialty ,biology ,business.industry ,medicine.medical_treatment ,Encephalopathy ,Toxic encephalopathy ,food and beverages ,Status epilepticus ,biology.organism_classification ,medicine.disease ,Gastroenterology ,Averrhoa carambola ,Endocrinology ,Neurology ,Internal medicine ,Hemofiltration ,medicine ,Vomiting ,Ingestion ,Neurology (clinical) ,medicine.symptom ,business ,Kidney disease - Abstract
Ingestion of star fruit (Averrhoa carambola) can induce severe intoxication in subjects with chronic renal failure. Oxalate plays a key role in the neurotoxicity of star fruit. We report the cases of two patients with unknown chronic renal insufficiency who developed severe encephalopathy after ingestion of star fruit. The two patients developed intractable hiccups, vomiting, impaired consciousness and status epilepticus. Diffusion-weighted MR imaging showed cortical and thalamic hyperintense lesions related to epileptic status. They improved after being submitted to continuous hemofiltration which constitutes the most effective treatment during the acute phase.
- Published
- 2009
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