医学
急诊科
楊桃
肾脏疾病
摄入
糖尿病
血液透析
重症监护医学
疾病
病史
病死率
透析
急诊医学
外科
内科学
流行病学
内分泌学
精神科
植物
生物
作者
Christopher Raciti,Melba Blanzaco,Jeffrey Bernstein
标识
DOI:10.1016/j.ajem.2023.06.043
摘要
We detail a case of a 74-year-old female with a history of chronic kidney disease (CKD) and diabetes mellitus (DM) who initially presented to the Emergency Department (ED) with intractable hiccups after ingesting two whole starfruit (SF) and quickly became critically ill while in the ED. Our patient was admitted and received several rounds of hemodialysis, but efforts proved futile, as the patient expired during her hospital course. To the best of our knowledge, this is the first fatality reported due to SF ingestion in the U.S, and highlights the need for both a better understanding of SF intoxication and clearer guidelines and timing for treatment. Due to the increased mortality of patients who consume SF with a medical history of CKD or DM, it is prudent that Emergency Physicians are familiar with the clinical presentation and management options for SF toxicity.
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