Detectable Digoxin Concentrations in 3 Patients with Ramps Misadventure.


Journal

Wilderness & environmental medicine
ISSN: 1545-1534
Titre abrégé: Wilderness Environ Med
Pays: United States
ID NLM: 9505185

Informations de publication

Date de publication:
09 2022
Historique:
received: 08 11 2021
revised: 20 04 2022
accepted: 22 04 2022
pubmed: 13 6 2022
medline: 21 9 2022
entrez: 12 6 2022
Statut: ppublish

Résumé

Allium tricoccum (commonly known as "ramps") is an edible plant known for its strong garlic-like odor and onion flavor. Unfortunately, A tricoccum mimics such as Lily of the Valley (Convallaria majalis) and False Hellebore (Veratrum viride) can lead to foraging errors and subsequent patient harm/toxicity. We describe 3 adults who foraged and ate what they believed were A tricoccum and then subsequently became symptomatic with detectable digoxin concentrations. A 41-y-old woman, 41-y-old man, and a 31-y-old man presented to the emergency department after ingesting an unknown plant that was believed to be A tricoccum. On arrival to the emergency department, the patients were hypotensive and bradycardic. They had detectable digoxin concentrations ranging from 0.08 ng·mL

Identifiants

pubmed: 35691768
pii: S1080-6032(22)00067-9
doi: 10.1016/j.wem.2022.04.008
pii:
doi:

Substances chimiques

Immunoglobulin Fragments 0
Veratridine 71-62-5
Digoxin 73K4184T59

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

340-343

Informations de copyright

Copyright © 2022 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.

Auteurs

Joshua Trebach (J)

Division of Medical Toxicology, Ronald O. Perelman Department of Emergency Medicine, NYU Grossman School of Medicine, New York, New York; New York City Poison Control Center, Department of Health and Mental Hygiene, New York, New York. Electronic address: jtrebach@gmail.com.

Vincent Calleo (V)

Division of Medical Toxicology, SUNY Upstate Medical University; Upstate New York Poison Control Center, Syracuse, New York.

Sara Akbar (S)

Department of Internal Medicine, Westchester Medical Center, Valhalla, New York.

James Langston (J)

California Animal Health and Food Safety Laboratory, University of California at Davis, Davis, California.

Michael Filigenzi (M)

California Animal Health and Food Safety Laboratory, University of California at Davis, Davis, California.

Robert S Hoffman (RS)

Division of Medical Toxicology, Ronald O. Perelman Department of Emergency Medicine, NYU Grossman School of Medicine, New York, New York.

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Classifications MeSH