alexa Djenkol Beans-the Southeast Asian Delicacy That Challenges Uro-nephrology
ISSN: 2161-0959

Journal of Nephrology & Therapeutics
Open Access

Like us on:
OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Share This Page

Additional Info

Loading Please wait..

11th International Conference on Nephrology & Urology
March 22-23, 2017 Rome, Italy

Sudhaharan Sivathasan
Tuanku Ja'afar Hospital, Malaysia
ScientificTracks Abstracts: J Nephrol Ther
DOI: 10.4172/2161-0959.C1.036
Djenkol beans (Pithecellobium jiringa) are frequently used in the Malay Archipelago in local cuisine. It contains djenkolic acid which precipitates in urine forming sludge, causing obstructive uropathy. Djenkolism has been reported exclusively involving the South East Asian population, principally Malaysians and Indonesians. We present two cases of djenkolism. A healthy 28 year old Indonesian gentleman presented with difficulty in passing urine and haematuria hours after consuming 20 beans of djenkol. He had an initial urea of 6.5 mmol/L, potassium 4.1 mmol/L and creatinine 274 μmol/L. The peak urea was 13.4 mmol/L, potassium 5.0 mmol/L and creatinine 430 μmol/L, without metabolic acidosis. An ultrasound noted bilateral hydronephrosis and hydroureter. A CT urogram revealed mild left hydronephrosis and hydroureter with no calculi. With hydration, the renal profile improved and he was discharged after seven days with normal kidney function. The second case was a healthy 44 year old Indonesian gentleman who presented with inability to pass urine 48 hours after consuming a kilogram of djenkol beans. He had an initial urea of 14.8 mmol/L, potassium 4.3 mmol/L and creatinine 443 μmol/L. The peak urea was 27.1 mmol/L and creatinine 1088 μmol/L with compensated metabolic acidosis. An ultrasound and CT urogram revealed mild right hydronephrosis but no calculi. He was anuric despite aggressive hydration. Hemodialysis was performed twice. He later developed frank haematuria and became polyuric. He was discharged well after seven days with resolution of acute kidney injury. This is believed to be the first report of djenkolism requiring acute dialysis.

Sudhaharan Sivathasan is a Consultant Physician and Nephrologist at Tuanku Ja'afar Hospital, Malaysia. He completed his Graduation at University of Malaya. He subsequently completed his Membership of the Royal Colleges of Physicians of the United Kingdom and Board of Nephrology Fellowship (Malaysia). He is a member of Academy of Medicine of Malaysia and Malaysian Society of Nephrology. His interests include Hemodialysis and General Nephrology. He has published papers, and also reviewed articles for journals. He is an honorary Lecturer at International Medical University and a guest Lecturer at Perdana University.


image PDF   |   image HTML

Relevant Topics

Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

1-702-714-7001Extn: 9037

Business & Management Journals


1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

1-702-714-7001 Extn: 9042

© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version