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Fish gall bladder consumption presenting as acute renal failure.

A Gupta1, N D Karnik, V A Gupta

  • 1Department of Medicine, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, Maharashtra, India.

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|October 7, 2015
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Summary
This summary is machine-generated.

Consuming raw fish gallbladder, specifically rohu, can lead to acute kidney injury (AKI) and azotemia. Prompt medical intervention, including hemodialysis, can aid in recovery from this severe renal failure.

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Area of Science:

  • Toxicology
  • Nephrology
  • Foodborne Illness

Background:

  • Acute renal failure is a serious medical condition with various potential causes.
  • Dietary practices, particularly consumption of raw animal products, can pose health risks.
  • Rohu fish (Labeo rohita) is a common food source in South Asia.

Observation:

  • A 42-year-old male presented with anuria and breathlessness after eating raw rohu fish gallbladder.
  • The patient exhibited signs of azotemia and required hemodialysis.
  • Initial symptoms indicated severe kidney dysfunction.

Findings:

  • The patient's acute renal failure showed improvement over approximately four weeks.
  • This case aligns with previous reports from Southeast Asia linking raw rohu fish gallbladder consumption to acute kidney injury.
  • Azotemia and anuria were key indicators of the renal insult.

Implications:

  • Highlights a potential, underrecognized cause of acute kidney injury related to specific dietary habits.
  • Emphasizes the importance of thorough patient history, including dietary intake, in diagnosing renal failure.
  • Suggests a need for public health awareness regarding the risks associated with consuming raw fish gallbladder.