Hong Kong Journal of Nephrology

Volume 3 Number 1, 2001

Persistent hiccup in a continuous ambulatory peritoneal dialysis patient following ingestion of star fruit

Kin-Yee LO, Gensy Mei-Wah TONG, Ping-Nam WONG, Siu-Ka MAK, Andrew Kui-Man WONG

Animal studies have suggested that ingestion of star fruit, which belongs to the Oxalidaceae family, may cause neurotoxicity. Outbreaks of intractable hiccups have been reported following ingestion of star fruit in patients on regular hemodialysis. Other complaints have included insomnia, agitation and mental confusion. We report a patient on continuous ambulatory peritoneal dialysis (CAPD) who presented with acute confusion and persistent hiccup following ingestion of star fruit. Symptoms resolved spontaneously. Other reported cases and management strategies are discussed. (Hong Kong J Nephrol 2001;3(1):45-46)

Key words: Continuous ambulatory peritoneal dialysis (CAPD), Hiccup, Star fruit intoxication

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