Case Report
Acute Oxalate Nephropathy following Ingestion of Averrhoa bilimbi Juice
Table 1
Laboratory investigations at admission to hospital.
| | Urine | Case 1 | Case 2 |
| | Protein | + | Trace | | Deposits | | | | Red blood cells (RBCS) | 0-1/hpf | 0-1/hpf | | White blood cells (WBCS) | 5-6/hpf | 1-2/hpf | | Calcium oxalate crystals | Plenty | Nil | | Blood | | | | Hemoglobin (Hb) | 12.3 g% | 12 g% | | Total white blood cell count (TC) |
9000 cells/mm3 | 8300 cells/mm3 | | Differential white blood cell count (DC) | P78 L15 E7 | P73 L20 E7 | | Erythrocyte sedimentation rate (ESR) | 17 | 18 | | Platelet count | 2.7 lakhs/mm3 |
2.18 lakhs/mm3 | | Random blood sugar | 70 mg% | 106 mg% | | Blood urea | 74 mg% | 142 mg% | | Serum creatinine | 4.4 mg% | 10 mg% | | Serum sodium | 135 mg% | 116 mg% | | Serum potassium | 4.3 mg% | 4.6 mg% | | Serum bilirubin total | 1.2 mg% | 0.7 mg% | | Direct | 0.8 mg% | 0.2 mg% | | Indirect | 0.4 mg% | 0.5 mg% | | Serum alanine transaminase (ALT) | 22 units | 26 units | | Serum aspartate transaminase (AST) | 34 units | 18 units | | Total protein | 7.5 g% | 6 g% | | Serum albumin | 4.2 g% | 4 g% | | Serum alkaline phosphatase | 69 | 58 | | Serum calcium | 8.6 mg% | 7.7 mg% | | Serum phosphorus | 4.5 mg% | 5.7 mg% | | Serum uric acid | 9 mg% | 10 mg% |
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