Citation

Bourgeois B, Incagnoli P, Hanna J, Tirard V. Ann. Fr. Anesth. Reanim. 2005; 24(6): 640-642.

Copyright

(Copyright © 2005, Elsevier Publishing)

DOI

10.1016/j.annfar.2005.04.010

PMID

15921882

Abstract

A chronically depressed 44-year-old man was rescued by the French medicalised ambulance service four hours after the ingestion of Nerium oleander leaves in a suicide attempt. Cardiotoxicity was evidenced by the presence of bradycardia with mental confusion and vomiting. The patient was empirically treated in the prehospital phase with a single dose of digoxin-specific Fab antibody fragments (Digidot). In spite of this treatment, the patient presented a new episode of important bradycardia (25 b/minute). Thereafter, the patient's rhythm stabilized and neurological signs and vomiting resolved. The patient recovered uneventfully and was discharged from the intensive care unit two days later.

Language: fr

Keywords

Adult; Antibodies, Blocking; Bradycardia; Digoxin; Emergency Medical Services; Heart Diseases; Humans; Immunoglobulin Fab Fragments; Male; Nerium; Suicide, Attempted; Vomiting