Djenkol bean poisoning (Djenkolism)

An unusual cause of acute renal failure

M. Segasothy, M. Swaminathan, N. C T Kong, William M. Bennett

    Research output: Contribution to journalArticle

    30 Citations (Scopus)

    Abstract

    This report describes a patient with acute renal failure that resulted from the ingestion of djenkol beans. Features of acute djenkolism include nausea, vomiting, bilateral loin pain, gross hematuria, and oliguria. The blood urea level was 16.2 mmol/L and the serum creatinine was 460 μmol/L. Phase contrast microscopy of the urinary sediment indicated that the hematuria was nonglomerular. Ultrasound of the kidneys showed slightly enlarged kidneys with no features of obstruction. Renal biopsy showed acute tubular necrosis similar to the single animal study reported in the literature. With conservative therapy, which included rehydration with normal saline and alkalinization of the urine with sodium bicarbonate, the acute renal failure resolved. Based on its chemistry, djenkol bean-associated acute renal failure may be analogous to acute uric acid nephropathy.

    Original languageEnglish
    Pages (from-to)63-66
    Number of pages4
    JournalAmerican Journal of Kidney Diseases
    Volume25
    Issue number1
    DOIs
    Publication statusPublished - 1995

    Fingerprint

    Acute Kidney Injury
    Poisoning
    Hematuria
    Kidney
    Oliguria
    Phase-Contrast Microscopy
    Sodium Bicarbonate
    Fluid Therapy
    Uric Acid
    Nausea
    Vomiting
    Urea
    Creatinine
    Necrosis
    Eating
    Urine
    Biopsy
    Pain
    Serum

    Keywords

    • acute renal failure
    • Djenkolism

    ASJC Scopus subject areas

    • Nephrology

    Cite this

    Djenkol bean poisoning (Djenkolism) : An unusual cause of acute renal failure. / Segasothy, M.; Swaminathan, M.; Kong, N. C T; Bennett, William M.

    In: American Journal of Kidney Diseases, Vol. 25, No. 1, 1995, p. 63-66.

    Research output: Contribution to journalArticle

    Segasothy, M. ; Swaminathan, M. ; Kong, N. C T ; Bennett, William M. / Djenkol bean poisoning (Djenkolism) : An unusual cause of acute renal failure. In: American Journal of Kidney Diseases. 1995 ; Vol. 25, No. 1. pp. 63-66.
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