BACKGROUND This study aims to highlight the potential serious complications of acute kidney injury(AKI)resulting from the consumption of excessive amounts of starfruit,a common traditional remedy.CASE SUMMARY A 78-year-old male with a past medical history of hypertension,diabetes mellitus and hyperlipidemia without prior nephropathy presented to the emergency department(ED)with hiccups,nausea,vomiting and generalized weakness.In the preceding 1 wk,he had consumed 3 bottles of concentrated juice self-prepared from 1 kg of small sour starfruits.His serum creatinine was noted to be 1101μmol/L from baseline normal prior to his ED visit.He was diagnosed with AKI secondary to excessive starfruit consumption.CONCLUSION Consumption of starfruit can cause acute renal failure,with a good outcome when promptly identified and treated.
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