How green veggies left renal patient on dialysis: case

The elderly man developed end stage kidney failure after eating too many leafy vegetables, triggering oxalate nephrology

An elderly patient with chronic kidney disease needed ongoing dialysis after he developed an acute kidney injury from over-eating leafy greens, US doctors report.

Oxalates in the veggies are believed to have crystalised and deposited in the kidneys, leading to acute tubular injury, according to doctors from the Johns Hopkins School of Medicine in Baltimore, Maryland.

The patient, 78, who also had Alzheimer’s Disease, presented to the ED with a serum creatinine level of 576 Î¼mol/L from a baseline value of 168μmol/L three months earlier.

He had a previous history of left hydronephrosis due to nephrolithiasis, secondary to calcium oxalate, and that was treated with lithotripsy.