Digitalis (Cardiac Glycoside) Poisoning after Foxglove Ingestion: Case Report.
- Author:
Gil Myeong SEONG
1
;
Seung Jae JOO
;
Song Yi KIM
Author Information
1. Division of Cardiology, Department of Internal Medicine, Jeju National University, School of Medicine, Jeju, Korea. ttoromom@jejunu.ac.kr
- Publication Type:Case Report
- Keywords:
Digitalis;
Plant;
Poisoning;
Electrocardiography
- MeSH:
Aged;
Atrioventricular Block;
Bradycardia;
Depression;
Digitalis;
Digoxin;
Eating;
Electrocardiography;
Emergencies;
Female;
Hematologic Tests;
Humans;
Nausea;
Physical Examination;
Plants;
Vomiting
- From:Journal of the Korean Society of Emergency Medicine
2011;22(3):291-294
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Digoxin, also known as digitalis, is a purified cardiac glycoside extracted from the foxglove plant, Digitalis purpurea. Digoxin-mediated cardiac glycoside toxicity due to accidental plant ingestion can occur. Presently, a 69-year-old woman visited our emergency department with epigastric pain, nausea and vomiting after ingestion of a plant. Physical examination and initial laboratory blood test results were within normal limits. An electrocardiogram (ECG) showed sinus bradycardia with first degree AV block and diffuse ST-segment depressions in a "scooping" pattern. The plant was identified as D. purpurea, and the patient's serum digoxin level was 2.89 ng/mL. The patient was treated conservatively in the absence of any life-threatening event. Recovery was uneventful.
