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Original

STAR FRUIT (AVERRHOA CARAMBOLA) INTOXICATION: AN IMPORTANT CAUSE OF CONSCIOUSNESS DISTURBANCE IN PATIENTS WITH RENAL FAILURE

, M.D., , M.D., , M.D. & , M.D.
Pages 379-382 | Published online: 07 Jul 2009

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Choon-Bing Chua, Cheuk-Kwan Sun, Huan-Wen Tsui, Po-Jen Yang, Kuo-Hsin Lee, Chih-Wei Hsu & I-Ting Tsai. (2017) Association of renal function and symptoms with mortality in star fruit (Averrhoa carambola) intoxication. Clinical Toxicology 55:7, pages 624-628.
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Chia-Lin Wu, Ping-Fang Chiu, Yu Yang, Yao-Ko Wen, Chun-Ching Chiu & Chia-Chu Chang. (2011) Sustained Low-Efficiency Daily Diafiltration with Hemoperfusion as a Therapy for Severe Star Fruit Intoxication: A Report of Two Cases. Renal Failure 33:8, pages 837-841.
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Lien-Li Chen, Ji-Tseng Fang & Ja-Liang Lin. (2005) Chronic Renal Disease Patients with Severe Star Fruit Poisoning: Hemoperfusion May Be an Effective Alternative Therapy. Clinical Toxicology 43:3, pages 197-199.
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Articles from other publishers (15)

Christopher Raciti, Melba Blanzaco & Jeffrey Bernstein. (2023) Death associated with ingestion of starfruit (Averrhoa carambola) in a patient with chronic kidney disease. The American Journal of Emergency Medicine 70, pages 208.e1-208.e3.
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Ranjeet Singh, Neetu Sachan, Shiv D. Singh & Phool Chandra. (2023) PHARMACODYNAMIC EVALUATION OF DIETARY SUPPLEMENTATION OF AVERRHOA CARAMBOLA FRUIT EXTRACT AGAINST LEAD ACETATE-INDUCED HEPATOTOXICITY IN RATS. Indian Drugs 60:01, pages 75-83.
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Pamodh Yasawardene, Umesh Jayarajah, Ishan De Zoysa & Suranjith L Seneviratne. (2021) Nephrotoxicity and neurotoxicity following star fruit ( Averrhoa carambola ) ingestion: a narrative review . Transactions of The Royal Society of Tropical Medicine and Hygiene 115:9, pages 947-955.
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Patrick E. Aba & Augustus U. Amadi. (2020) Evaluation of the possible hepatotoxic and nephrotoxic potentials of the Averrhoa carambola juice extract in female albino rats . Journal of Basic and Clinical Physiology and Pharmacology 31:1.
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Renato Figueiredo Santana, Layla Alves Rodrigues da Silva, Eduardo Achar, Gerson Ballester, Marcelo Augusto Fontenelle Ribeiro Junior & Sandra Regina Mota Ortiz. (2020) C-Fos expression in epileptogenic areas of nephropathic rats undergoing star fruit poisoning. Acta Cirúrgica Brasileira 35:7.
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Dilushi Rowena Wijayaratne, V. Bavanthan, M. V. C. de Silva, A. L. M. Nazar & Eranga S. Wijewickrama. (2018) Star fruit nephrotoxicity: a case series and literature review. BMC Nephrology 19:1.
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Fahaid H. Al-Hashem, Mohammad A. Dallak, Luke O. Nwoye, Ismaeel M. Bin-Jaliah, Hasan S. Al-Amri, Mahmoud H. Rezk, Hussein F. Sakr, Abdullah S. Shatoor & Mahmoud Al-Khateeb. (2012) Acute exposure to Catha edulis depresses contractility and induces myocardial infarction in spontaneously contracting, isolated rabbit’s heart. Saudi Journal of Biological Sciences 19:1, pages 93-101.
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Maria Auxiliadora-Martins, Gil Cezar Alkmin Teixeira, Graciana Soares da Silva, Jaciara Machado Viana, Edson Antônio Nicolini, Olindo Assis Martins-Filho & Anibal Basile-Filho. (2010) Severe encephalopathy after ingestion of star fruit juice in a patient with chronic renal failure admitted to the intensive care unit. Heart & Lung 39:5, pages 448-452.
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Alexandre Herbland, Ibrahim El Zein, Ruddy Valentino, Christophe Cassinotto, Cécile Meunier, Denise Rieux & Hossein Mehdaoui. (2009) Star fruit poisoning is potentially life-threatening in patients with moderate chronic renal failure. Intensive Care Medicine 35:8, pages 1459-1463.
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Jen‐Pi Tsai, Te‐Chao Fang, Chih‐Hsien Wang, Tien‐Hua Chung & Bang‐Gee Hsu. (2009) Fatal Outcome After Ingestion of Star Fruit in a Severe Chronic Kidney Disease Patient. Dialysis & Transplantation 38:3, pages 102-105.
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Donald G. Barceloux. 2008. Medical Toxicology of Natural Substances. Medical Toxicology of Natural Substances 611 613 .
Mei-Yi Wu, I-Wen Wu, Shin-Shu Wu & Ja-Liang Lin. (2007) Hemoperfusion as an Effective Alternative Therapy for Star Fruit Intoxication: A Report of 2 Cases. American Journal of Kidney Diseases 49:1, pages e1-e5.
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Yu‐Chin Lily Wang, Ber‐Ming Liu, Robert B. Supernaw, Yu‐Hong Lu & Ping‐Yu Lee. (2012) Management of Star Fruit–Induced Neurotoxicity and Seizures in a Patient with Chronic Renal Failure. Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy 26:1, pages 143-146.
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C.M.L. Vasconcelos, M.S. Araújo, B.A. Silva & E.A. Conde-Garcia. (2005) Negative inotropic and chronotropic effects on the guinea pig atrium of extracts obtained from Averrhoa carambola L. leaves. Brazilian Journal of Medical and Biological Research 38:7, pages 1113-1122.
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CHUNG-HSIN CHANG & JIANN-HORNG YEH. (2004) Non-convulsive status epilepticus and consciousness disturbance after star fruit (Averrhoa carambola) ingestion in a dialysis patient. Nephrology 9:6, pages 362-365.
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