TY  - JOUR
PY  - 2018//
TI  - Fatality Following Intentional Ingestion of Cerbera odollam Seeds
JO  - Clinical practice and cases in emergency medicine
A1  - Misek, R.
A1  - Allen, G.
A1  - Lecomte, V.
A1  - Mazur, N.
SP  - 223
EP  - 226
VL  - 2
IS  - 3
N2  - Seeds from the mangrove plant Cerbera (C.) odollam, known as the "suicide tree," are responsible for a significant number of plant deaths worldwide but are not well recognized in Western medicine. Cerberin is a cardiac glycoside concentrated in the plant's seeds, which causes disrupted cardiac electrical activity leading to fatal dysrhythmias. We present a fatal case of intentional C. odollam seed ingestion. The patient experienced high-degree heart block and cardiac arrest despite supportive treatment and digoxin immune fab administration. Clinicians should be aware of the potential morbidity and mortality associated with C. odollam poisoning and be prepared for resuscitative interventions. © 2018 Misek et al.<p /> <p>Language: en</p>
LA  - en
SN  - 2474-252X
UR  - http://dx.doi.org/10.5811/cpcem.2018.5.38345
ID  - ref1
ER  -