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Death associated with ingestion of starfruit (Averrhoa carambola) in a patient with chronic kidney disease. | LitMetric

Death associated with ingestion of starfruit (Averrhoa carambola) in a patient with chronic kidney disease.

Am J Emerg Med

Florida Poison Information Center, Jackson Memorial Hospital, University of Miami Miller School of Medicine, Highland Professional Building, 1(st) Floor, 1801 NW 9(th) Avenue, 1(st) Floor, Miami, FL 33136, USA; Department of Emergency Medicine, Jackson Memorial Hospital, 1611 N.W. 12th Avenue, Miami, FL 33136, USA.

Published: August 2023

AI Article Synopsis

Article Abstract

We detail a case of a 74-year-old female with a history of chronic kidney disease (CKD) and diabetes mellitus (DM) who initially presented to the Emergency Department (ED) with intractable hiccups after ingesting two whole starfruit (SF) and quickly became critically ill while in the ED. Our patient was admitted and received several rounds of hemodialysis, but efforts proved futile, as the patient expired during her hospital course. To the best of our knowledge, this is the first fatality reported due to SF ingestion in the U.S, and highlights the need for both a better understanding of SF intoxication and clearer guidelines and timing for treatment. Due to the increased mortality of patients who consume SF with a medical history of CKD or DM, it is prudent that Emergency Physicians are familiar with the clinical presentation and management options for SF toxicity.

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Source
http://dx.doi.org/10.1016/j.ajem.2023.06.043DOI Listing

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