UNASSIGNED: @entity4295 ( @entity4295 ), especially from @entity137 is frequently accompanied by tubular casts and crystals. @entity1582 casts, @entity5632 , red blood cell and granular casts are well described. However, bile casts in tubules are rarely seen. We describe a case of Tribulus terrestris @entity137 in a young healthy male, presenting with severe @entity3638 followed by @entity810 and bile containing casts in the tubules. Tribulus terrestris is an herb often used by athletes as a nutritional supplement for performance enhancement. Although it is thought to be relatively safe, serious side effects have been reported before. Our aim is to increase awareness of the potential @entity137 of performance enhancing herbal medications. These are often sold over-the-counter and therefore casually used, especially by young healthy individuals. Beneficial effects are controversial. Under-reporting by @entity1 and infrequent documentation by health-care providers can delay diagnosis. We elaborately describe the kidney biopsy findings in Tribulus terrestris @entity137 , and also provide a concise overview of the spectrum of tubular casts and their staining patterns, found in various @entity8 .

XXXX and @entity3638 in a young male after ingestion of Tribulus terrestris.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity8 :: ('MESH:D007674', 'Disease') :: ['kidney diseases'] @entity137 :: ('MESH:D064420', 'Disease') :: ['toxicity', 'toxic injury', 'toxicities'] @entity4295 :: ('MESH:D007683', 'Disease') :: ['ATN', 'Acute tubular necrosis'] @entity1582 :: ('MESH:D009101', 'Disease') :: ['Myeloma'] @entity810 :: ('MESH:D058186', 'Disease') :: ['acute renal failure'] @entity5632 :: ('4151', 'Gene') :: ['myoglobin'] @entity3638 :: ('MESH:D006932', 'Disease') :: ['hyperbilirubinemia']
@entity810 :: (MESH:D058186,Disease) :: ['Acute kidney injury']
