yulius hermantoJengkol Intoxication
April 20th 2009 09:25
Definition
Jengkol intoxication is a kind of food intoxication. Food intoxication itself means intoxication that occurs after ingestion of food contaminated or containing toxin.
Jengkol intoxication is not well for people outside indonesia, because not many cultures that used jengkol as food ingredients. Jengkol itself is a kind of beans (Pithecolobium lobatum)
Jengkol being used as food ingredients because its flavour, smells, etc.
Brief Introduction
Jengkol always caused intoxication. Component of jengkol that caused intoxication is jengkolic acid, that is a kind of amino acid that contains sulfur that can be isolated from jengkol beans. Intoxication occurs independent of amounts of beans that being consumed and whether it's being cooked or not, also whether it's rape or raw. Van Veen and Hyman concluded that intoxication occurs depends on individual susceptibility to jengkolic acid..
Symptoms
Symptoms that occurs, is caused by obstruction of urinary tract by jengkolic acid crystal. Complains usually occurs in 5-12 hours after eating jengkol. Fastest onset is within 2 hours, the latest onset is after 36 hours.
Usually patients tell that he/she feel abdominal pain/discomfort after eating few jengkol beans. Sometimes accompany by vomit, colic pain at micturition. Urine volume also decreased, even can be anuria. Sometimes hematuria can be found. Also urine and breath smells jengkol.
LABORATORIUM
In urine examination with microscope, can be found jengkolic acid crystal that being seen as sharp needle or sometimes agglutinated as bound or rosette.
Treatment
If the symptoms is mild (vomit, abdominal/flank pain only), patient don't have to stay in hospital, can be managed by advice to drink a lot and giving sodium bicarbonate.
If the symptoms is severe (oliguria, anuria, hematuria and can't drink), patient have to stay in hospital or opname and receive Sodium bicarbonate in 5 % glucose I.V.
Refrences:
1. Sunarka, Nyoman. Hematuria pada anak. 2002. Cermin Dunia Kedokteran:134:27-31
2. Manik, Muniarti. Keracunan MakananI]. 2003. USU Library
3. Damanik, AP. [I]TataLaksana Hematuria pada anak. 2008. UGM
Jengkol intoxication is a kind of food intoxication. Food intoxication itself means intoxication that occurs after ingestion of food contaminated or containing toxin.
Jengkol intoxication is not well for people outside indonesia, because not many cultures that used jengkol as food ingredients. Jengkol itself is a kind of beans (Pithecolobium lobatum)
Brief Introduction
Jengkol always caused intoxication. Component of jengkol that caused intoxication is jengkolic acid, that is a kind of amino acid that contains sulfur that can be isolated from jengkol beans. Intoxication occurs independent of amounts of beans that being consumed and whether it's being cooked or not, also whether it's rape or raw. Van Veen and Hyman concluded that intoxication occurs depends on individual susceptibility to jengkolic acid..
Symptoms
Symptoms that occurs, is caused by obstruction of urinary tract by jengkolic acid crystal. Complains usually occurs in 5-12 hours after eating jengkol. Fastest onset is within 2 hours, the latest onset is after 36 hours.
Usually patients tell that he/she feel abdominal pain/discomfort after eating few jengkol beans. Sometimes accompany by vomit, colic pain at micturition. Urine volume also decreased, even can be anuria. Sometimes hematuria can be found. Also urine and breath smells jengkol.
LABORATORIUM
In urine examination with microscope, can be found jengkolic acid crystal that being seen as sharp needle or sometimes agglutinated as bound or rosette.
Treatment
If the symptoms is mild (vomit, abdominal/flank pain only), patient don't have to stay in hospital, can be managed by advice to drink a lot and giving sodium bicarbonate.
If the symptoms is severe (oliguria, anuria, hematuria and can't drink), patient have to stay in hospital or opname and receive Sodium bicarbonate in 5 % glucose I.V.
Refrences:
1. Sunarka, Nyoman. Hematuria pada anak. 2002. Cermin Dunia Kedokteran:134:27-31
2. Manik, Muniarti. Keracunan MakananI]. 2003. USU Library
3. Damanik, AP. [I]TataLaksana Hematuria pada anak. 2008. UGM
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