In another report from Indonesia, djenkol consumption can cause hypersaturation of djenkolic acid crystals within the urinary system. That leads to obstructive nephropathy with sludge, stones, or possible spasms. In this report, 96 cases of djenkolism were identified. Recovery for the majority of patients included using hydration, bicarbonate therapy, and pain medication for treatment. Three patients required surgery. Another patient had obstructing djenkolic acid stones and required urethral stinting. Out of the 96 reported cases, four patients passed away with the final diagnosis as acute kidney failure.
