Djenkolism: An uncommon cause for Acute Kidney Injury.
Yeoh BH1, Burud IA1, Tata MD2
1Department of Surgery, International Medical University Clinical Campus (Seremban), Jalan Rasah, 70300 Seremban, Negeri Sembilan Darul Khusus, Malaysia.
2Department of Surgery, Tuanku Ja’afar Hospital, Seremban, Negeri Sembilan Darul Khusus, Malaysia.
Djenkolism is a condition that results in acute kidney injury and occurs after the consumption of djenkol beans, which are a local delicacy and traditional medicine in some Southeast Asian countries. The pathogenesis of acute kidney injury secondary to djenkolism is not well understood but the current hypothesis is acute tubular necrosis secondary to renal obstruction due to djenkolic acid crystals (principal toxin of djenkol beans). This report describes a previously healthy 28-year-old man experiencing acute kidney injury after the consumption of djenkol beans. He presented with features of acute djenkolism which included suprapubic pain, dysuria and hematuria. With conservative treatment based on the principles of rehydration with normal saline and alkalinisation of urine with sodium bicarbonate, the acute kidney injury resolved. Healthcare practitioners in the Southeast Asian region need to consider this uncommon cause as one of the differentials of acute kidney injury.
Keywords: Acute Kidney Injury, Asia, Southeastern, Haematuria, Hydronephrosis, Hydroureter, Kidney Tubular Necrosis.
Correspondence author: Farren Yeoh Boon Huat, International Medical University Clinical Campus (Seremban), Jalan Rasah, 70300 Seremban, Negeri Sembilan Darul Khusus, Malaysia.
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Brunei Int Med J. 2017; 13 (6): 211-214