CASE REPORT

Acute kidney injury in patient with djenkolism: a case report

Yenny Kandarini , Made Edwin Sridana, Gede Wira Mahadita

Yenny Kandarini
Nephrology division, Internal medicine department, Faculty of Medicine, Universitas Udayana/Sanglah general hospital, Bali, Indonesia. Email: [email protected]

Made Edwin Sridana
Internal medicine residency program, Faculty of Medicine, Universitas Udayana/Sanglah general hospital, Bali, Indonesia

Gede Wira Mahadita
Nephrology division, Internal medicine department, Faculty of Medicine, Universitas Udayana/Sanglah general hospital, Bali, Indonesia
Online First: April 28, 2021 | Cite this Article
Kandarini, Y., Sridana, M., Mahadita, G. 2021. Acute kidney injury in patient with djenkolism: a case report. Bali Medical Journal 10(1): 199-201. DOI:10.15562/bmj.v10i1.2146


Background: Djenkolic poisoning or djenkolism is one of the causes of acute kidney failure common in Southeast Asia. Djenkol bean or jering (Archidendron pauciflorum) is one of the foods commonly found in Southeast Asia. These seed plants are usually processed by boiling or frying, but often they are also consumed raw. Djenkolism sometimes occurs, albeit infrequently after ingesting djenkol beans. The clinical presentation of djenkolism is varied but generally presents as a spasmodic loin to groin pain and acute kidney injury (AKI), with evidence of urinary obstruction.

Case description: We report a previously healthy 40-year-old male developed AKI after consuming a large amount of uncooked djenkol beans, which was resolved with rehydration with normal saline and conservative therapy.

Conclusion: We highlight the importance of healthcare practitioners, especially in the Southeast Asian region to consider this rare cause of acute kidney injury to provide early diagnosis and prompt treatments.

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