JENGKOLIC POISONING

Dr.SISCA SILVANA,M.Ked(Ped), SpA

DEPARTMENT OF CHILD HEALTH

MEDICAL FACULTY
UNIVERSITY OF HKBP NOMMENSEN
JENGKOL (PHITECOLOBIUM LOBATUM) :
A Food content as pete have composition B1
A In the some region of Indonesia, jengkol is
common as the food
A Serving : emping & rendang jengkol.
A Oudor  specific
Jengkolic poisoning : after eating jengkol cooked /
jengkol
Cause: jengkol is composed of jengkol acid , amino
acid that have sulphur
Chemistry structure of jengkol acid:
S – CH2 – CHNH2 – COOH
CH2
S – CH2 – CHNH2 – COOH
 In jengkol : formaldehyde + cysteine.
Jengkol acid is not dissoluble in cool water ( in
30 °C content 1 : 2.000 ), in the hot water 1 : 200

INCIDENCE
 boy : girls = 9 : 1, 4-7 years old, 1,5 years old (
young in age )
% Cause : idiopathy, depend on individual
susceptibility  jengkol acid  insufficiency
renal
% Moenajat Wiratmadja, et al : is not all people eating
jengkol can be jengkolic poisoning
% Van Veen dan Hyman : Jengkolic poisoning
depend on individual susceptibility

CLINICAL FEATURES :
Cause of hablur (crystal) jengkol acid obstruct bladder.
Symptoms show up 5 - 12 ours after eating jengkol.
Sooner 2 ours and delay 36 ours.
SYMPTOMS OF JENGKOLIC POISONING :
Back pain (colic), sometimes there is sezure
Oliguria to anuria, Colour of urine is red
Meteorismus and difficulty defecation / (-)
Oudor of breathing and urine is jengkol

In the severe jengkolic poisoning :

Pain in the renal area (colic)
Dysuria
Meteorismus, nausea, vomiting, flatus and
defecation (-)
Anuria
In Children : urine infiltrat on penis, scrotum 
Supra pubic and inguinal
Microscopy: urine  hablur jengkol acid 
roxet
Djaeni (1967) : hablur  alkali  acid

DIAGNOSIS :
Simply
TREATMENT :
Mild : vomiting, abdominal pain / back pain
outpatient
drinking much
giving NaHCO3 (4 tablet)
Severe : oliguri, hematuri, anuri, can not drinking
inpatient
IVFD D 5% + Bicnat, dose 2 - 5 mEq, in 4 - 8 ours
Antibiotica  secondary infection
Diuretic
PROGNOSIS :
Generally  Good, It will getting worst  acute
insufficiency renal

PREVENTION :
Avoid jengkol !!

Some Advice :
/ Before jengkol is cooked, soak in warm water in one
night. Keep the water still warm.
/ Bury jengkol for 2-3 days before, it can removal
jengkol acid