Urgent reminder! The latest poisoning cases, 2 cases in a row! Many people love to eat...

Urgent reminder

Latest poisoning cases

1 male and 1 female, 2 cases in a row

One of them was in critical condition and received emergency treatment

The index surged to more than 600

Man in critical condition due to poisoning and shock

As a nutritious fruit

Star fruit is loved by many people

Star fruit is delicious, but be careful when eating it

Especially this group of people

Carambola has certain

Nephrotoxicity and neurotoxicity

Kidney disease patients

Especially in patients with renal insufficiency

Don't eat carambola

Recently, a hospital in Xiamen

Two patients with carambola poisoning were admitted consecutively

One of the patients ate only half a star fruit.

I was in a coma and shock for a week.

Some time ago

Mr. Wang, 60 years old

Sent to the hospital urgently by family

The Second Affiliated Hospital of Xiamen Medical College

In the hospital

Mr. Wang kept burping and vomiting

I still feel sore all over, I can't even stand steadily

Blood test

Doctors found

Mr. Wang's serum creatinine index value

Reached more than 600

Six times higher than normal

Uric acid levels are also high

Significant kidney disease

To this

Doctors highly suspected

It was the carambola that caused the trouble

Gao Qing, deputy chief physician of the Department of Critical Care Medicine, the Second Affiliated Hospital of Xiamen Medical College: Food poisoning is more likely because this patient has a long-term chronic kidney disease and a history of taking star fruit before admission. We highly suspect that this patient may have star fruit poisoning.

After understanding the cause

The doctor immediately gave Mr. Wang

Acid suppression, stomach protection, fluid replacement, and correction of acidosis

But Mr. Wang himself already has

Thirty years of chronic kidney disease

Toxins are metabolized too slowly

It wasn't long before I went into shock.

According to the doctor:

The patient is in a coma

Epilepsy seizure when crossing the bed

Blood pressure drops to less than 90 mmHG

Low pressure only 40mmHG

And accompanied by

Foaming at the mouth, eyes rolled up, teeth clenched

The doctor immediately transferred Mr. Wang to the intensive care unit for emergency treatment. After a week of extracorporeal blood purification treatment, Mr. Wang gradually regained consciousness and was transferred back to the general ward.

Regarding Mr. Wang’s situation

Even the ICU doctors were amazed

The first time I saw carambola poisoning

Such a serious patient

Mr. Wang told the doctor that he knew kidney patients could not eat star fruit, but he thought that he had eaten it before and was not poisoned. This time he took a chance and ate half of it. Unexpectedly, he had problems two hours after eating it.

When Mr. Wang was transferred back to the general ward

The Nephrology Department admitted another patient

A woman who was severely poisoned by eating carambola

The woman was a uremia patient who needed hemodialysis for a long time. She also had symptoms such as frequent hiccups, vomiting, and impaired consciousness after eating carambolas. Fortunately, she was successfully rescued after bedside continuous hemofiltration treatment.

Can eating carambola cause poisoning?

These people should pay special attention to

Why is carambola so popular?

Carambolas are rich in antioxidants, vitamin C and potassium. With their sweet and sour taste and star-shaped shape, they are an indispensable part of a fruit platter. In my country, they are mainly distributed in Guangdong, Guangxi, Hainan and other places.

Although the taste of carambola is not as pleasing as strawberries and grapes, its low sugar content and ability to stimulate the production of body fluids have attracted much attention. However, we cannot ignore the various cases of carambola poisoning!

Previously, someone summarized the clinical manifestations of 32 patients with carambola poisoning and found that among the various symptoms of carambola poisoning patients, persistent hiccups accounted for 93.75%, vomiting accounted for 68.7%, mental confusion and varying degrees of consciousness disorders accounted for (65.7%); in addition, it also included limb numbness and abnormal sensation (40.6%); hypotension and shock (9.3%), and even death in severe cases.

Why might eating star fruit cause poisoning?

Like spinach, star fruit is a food high in oxalic acid, which is the source of its astringent taste.

Oxalic acid can irritate the gastrointestinal mucosa, causing diarrhea and abdominal pain; it can combine with Ca2+ in the blood to form calcium oxalate crystals that deposit in the renal tubules, causing acute tubular necrosis and interstitial nephritis.

In addition, carambola contains a neurotoxin. Normal people can metabolize and excrete this neurotoxin through the kidneys, but people with abnormal renal function cannot effectively excrete carambola toxin (Caramboxin), which eventually leads to poisoning symptoms.

Symptoms of carambola poisoning

Generally speaking, the symptoms of carambola poisoning are divided into three levels: mild, moderate, and severe:

1. Mild poisoning manifests itself as hiccups (commonly known as burping), nausea, vomiting, abdominal pain, insomnia, etc.

2. Moderate poisoning manifests as agitation, limb numbness, paresthesia, mild disturbance of consciousness, etc.;

3. Severe poisoning is manifested by severe impaired consciousness, coma, epilepsy, hypotension, shock, etc.

If not treated in time, the patient's condition will progress from mild to severe, and the more severe the condition, the higher the mortality rate.

Symptoms of carambola poisoning

Doctors remind that many people like to eat star fruit, and many people make their own star fruit wine.

People with chronic kidney disease, renal insufficiency, renal failure, patients with a history of hemodialysis, and patients undergoing peritoneal dialysis are advised not to eat carambolas or processed byproducts such as carambolas juice, canned carambolas, and carambolas wine. Infants, young children, people who are allergic to carambolas, and patients with hypertension and diabetes should also avoid eating carambolas.

Generally speaking, normal (healthy) people rarely get poisoned when eating carambola and will not experience any adverse reactions. However, they should also avoid eating large amounts of carambola or eating it on an empty stomach. It is recommended to eat no more than one (100 grams) at a time.

For healthy people, it is best not to eat too many carambolas or drink a lot of carambolas juice at one time; do not eat carambolas on an empty stomach, especially when tired or dehydrated. The oxalic acid content in carambolas decreases as the fruit matures, so it is safer to eat carambolas at maturity and remove the ridges and core.