Clinically, this condition is called Jamaican vomiting sickness.

Jamaican vomiting sickness in Toledo, Ohio.

Hypoglycin is toxic if ingested and is the causative agent of Jamaican Vomiting Sickness.

Jamaican vomiting sickness is an acute illness caused by the toxin hypoglycin A, which is present in unripened fruit of the ackee tree.

Malucci attended medical school in Grenada, and in "Great Expectations," he uses his knowledge of the Caribbean to diagnose a patient with a rare disease called Jamaican Vomiting Sickness.

"You know, with deficient glucose production, an attack can be triggered by alcohol, salicylates, or in rare cases, by ingesting the ackee nut, which produces what's commonly known as the Jamaican vomiting sickness. . ." I cupped a hand to my ear.

Liver diseases with similar appearances include Reye's syndrome, drug-induced hepatitis from agents with mitochondrial toxicity, including nucleoside reverse transcriptase inhibitors used to treat HIV, and a rare condition known as Jamaican vomiting sickness which is caused by the eating of the unripened Ackee fruit.