An unusual cause of acute abdomen and acute renal failure: Djenkolism

Autor: Sumitro Kosasih, Yong CS, Tan Lian Tat, Sandy Choo, Lim Chiao Yuen, Shariman H, Anand J, Chong VH
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Malaysian Family Physician, Vol 15, Iss 2, Pp 50-52 (2020)
Druh dokumentu: article
ISSN: 1985-207X
1985-2274
Popis: The djenkol bean (Archidendron pauciflorum) is a native delicacy in Southeast Asia, though consumption can sometimes lead to djenkolism. Clinical features of djenkolism include acute abdominal pain, hematuria, urinary retention, and acute kidney injury (AKI). The pain can be severe, which often leads to a misdiagnosis of acute abdomen. In this paper, we report the case of an Indonesian migrant with djenkolism. Due to the short history and severity of the abdominal pain, medical professionals suspected acute abdomen and proceeded with a negative exploratory laparotomy. However, djenkolism was suspected once relatives informed the professionals that the patient had consumed djenkol beans hours earlier. The patient recovered through aggressive hydration and urine alkalinization with bicarbonate infusion. We highlight the importance of being aware of this rare cause of AKI, especially in Southeast Asia, in order to provide early diagnoses and prompt treatments.
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