PMID: 16506356Mar 2, 2006Paper

Management of star fruit-induced neurotoxicity and seizures in a patient with chronic renal failure

Pharmacotherapy
Yu-Chin Lily WangPing-Yu Lee

Abstract

An 84-year-old Asian woman with hypertension and chronic renal failure was evaluated for incoherent speech, followed by intermittent interruptions of consciousness, and then status epilepticus after ingesting one star fruit (Averrhoa carambola) each day for 3 days. Conventional first-line anticonvulsants and hemodialysis were administered without significant control of the patient's seizures. Treatment was started with propofol, an intravenous agent that induces anesthesia with rapid onset and elimination from the central nervous system; this resulted in complete control of the seizures. Propofol may be an effective alternative when dialysis and conventional first-line anticonvulsants are unsuccessful in treating the symptoms of neurotoxicity.

References

Dec 1, 1990·Anaesthesia·S J MackenzieI S Grant
Jun 1, 1994·Anesthesia and Analgesia·P L Pitt-MillerM Maharaj
Apr 29, 1998·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·M M NetoJ C Netto
Feb 17, 2000·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·J M ChangY H Lai
Feb 7, 2001·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·C L ChenH M Chung
Sep 29, 2001·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·H C FangH M Chung
Dec 14, 2002·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Miguel Moyses NetoMarcio Dantas
Aug 11, 2004·Chest·Paul E Marik, Joseph Varon

❮ Previous
Next ❯

Citations

Apr 11, 2009·Intensive Care Medicine·Alexandre HerblandHossein Mehdaoui
Jun 22, 2010·Heart & Lung : the Journal of Critical Care·Maria Auxiliadora-MartinsAnibal Basile-Filho
May 8, 2007·Emergency Medicine Clinics of North America·David T LawrenceChristopher P Holstege
Dec 23, 2006·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Mei-Yi WuJa-Liang Lin
Jul 16, 2015·British Journal of Clinical Pharmacology·Hsien-Yi ChenKent R Olson
Apr 27, 2017·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Choon-Bing ChuaI-Ting Tsai
Oct 24, 2018·BMC Nephrology·Dilushi Rowena WijayaratneEranga S Wijewickrama
Mar 12, 2021·Transactions of the Royal Society of Tropical Medicine and Hygiene·Pamodh YasawardeneSuranjith L Seneviratne

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Seizure : the Journal of the British Epilepsy Association
Meng-Han TsaiYao-Chung Chuang
Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association
Miguel Moyses NetoMarcio Dantas
Journal of Neuroradiology. Journal De Neuroradiologie
C CassinottoH Deramond
© 2021 Meta ULC. All rights reserved