Citation

Becam J, Carvelli J, de Haro L, Gilli R, Casalta AC, Lacarelle B, Solas C, Fabresse N. Toxicol. Anal. Clin. 2021; 33(2): 141-146.

Copyright

(Copyright © 2021, Société Française de Toxicologie Analytique, Publisher Elsevier Publishing)

DOI

10.1016/j.toxac.2020.12.001

PMID

unavailable

Abstract

Poisoning with oleander (Nerium oleander) is rare but serious. The plant contains a cardiotonic heteroside, oleandrine, which can lead to death from cardiac arrest. The authors present the case of an 86-year-old patient who attempted to end her life by ingesting an infusion of oleander leaves. Faced with the appearance of cardiac conduction disorders, hyperkalaemia and a positive determination of digoxin carried out in immunoanalysis (0.7 ng/mL), the patient quickly received treatment with anti-digitalis antibodies in two administrations (40 mg then 80 mg) followed by a favorable clinical outcome in intensive care unit. © 2020 Société Française de Toxicologie Analytique

Language: en

Keywords

Intoxication; human; aged; case report; Digoxin; suicide attempt; clinical article; intensive care unit; heart muscle conduction disturbance; heart arrest; digitalis; digitalis intoxication; immunoassay; Article; Nerium oleander extract; hyperkalemia; clinical outcome; Nerium oleander; Oleander; Oleandrin