A case series on Averrhoa bilimbi induced acute oxalate nephropathy; an experience from a tertiary center in Kerala, India

摘要

Background: Averrhoa bilimbi is a commonly used fruit in South India for various homepreparations and as a traditional remedy for hypercholesterolemia and hypertension. Asit belongs to Oxalidaceae family, fruit has high oxalate content, causing calcium oxalatecrystal deposition in renal tubules, resulting in acute oxalate nephropathy (AON) whenconsumed in large quantities.Case Series: We present a series of 24 patients from 11 hospitals in the State of Keralawho developed acute renal failure after some days of intake of Irumban puli fruit juice.Seven patients needed hemodialysis while the other three improved with conservativemanagement.Conclusions: We conclude that it is not safe to consume high oxalate containing fruits,especially in concentrated forms, that too in large quantities.