Publication Type:

Journal Article


Indian Journal of Nephrology, Volume 23, Number 4, p.297-300 (2013)



abdominal discomfort, acute kidney failure, acute kidney tubule necrosis, acute oxalate nephropathy, adult, aged, anorexia, article, Averrhoa, Blood pressure, calcium oxalate, clinical article, conservative treatment, creatinine, creatinine blood level, disease severity, fatigue, food intake, fruit juice, hemodialysis, human, human tissue, hypercholesterolemia, irumban puli juice, kidney biopsy, kidney disease, kidney failure, male, microscopy, nausea, oliguria, oxalic acid, proteinuria, spectrophotometry, treatment duration, urinalysis


Irumban puli (Averrhoa bilimbi) is commonly used as a traditional remedy in the state of Kerala. Freshly made concentrated juice has a very high oxalic acid content and consumption carries a high risk of developing acute renal failure (ARF) by deposition of calcium oxalate crystals in renal tubules. Acute oxalate nephropathy (AON) due to secondary oxalosis after consumption of Irumban puli juice is uncommon. AON due to A. bilimbi has not been reported before. We present a series of ten patients from five hospitals in the State of Kerala who developed ARF after intake of I. puli fruit juice. Seven patients needed hemodialysis whereas the other three improved with conservative management.


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Cite this Research Publication

Ga Bakul, Unni, V. Na, Seethaleksmy, N. Vb, Mathew, Aa, Rajesh, Ra, Kurien, Ga, Rajesh, Jc, Jayaraj, P. Md, Kishore, D. Se, and Jose, P. Pf, “Acute oxalate nephropathy due to 'Averrhoa bilimbi' fruit juice ingestion”, Indian Journal of Nephrology, vol. 23, pp. 297-300, 2013.