Yellow oleander poisoning : a case report

Mollah, Abid Hossain; Ahmed, Samar; Shamsuzzaman, N Haque; Islam, Ashraful; Rashid, Abid; Rahim, Mostaque; Shamsuzzaman, S

doi:10.31729/jnma.764

Cited by 1 publication

(2 citation statements)

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“…However, our patient showed no ECG changes on admission or discharge, aligning with Karthik et al's findings that 50% of their study subjects displayed no ECG changes [ 11 ]. Cardiac glycosides also inhibit sodium/potassium ATPase in skeletal muscle cells, leading to extracellular potassium accumulation and hyperkalemia [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

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Asymptomatic Presentation of Yellow Oleander Poisoning in a 57-Year-Old Saudi Woman: A Case Report

AlMuhaidib,

Alabdulwahab,

Al-Otaibi

et al. 2023

Cureus

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Yellow oleander ( Thevetia peruviana ), known for its cardiac glycosides, can cause severe poisoning with varied clinical manifestations, primarily affecting the cardiovascular system. We present a unique case of a 57-year-old Saudi woman with a history of type 2 diabetes, dyslipidemia, and previous meningioma excision who ingested 3.4 grams of yellow oleander fruit, mistaking it for an edible fruit. Remarkably, she remained asymptomatic with no gastrointestinal, neurological, or cardiovascular symptoms. Examination and investigations, including electrocardiograms and laboratory tests, showed no abnormalities. Despite the known high toxicity of yellow oleander and its documented fatal cases, our patient's asymptomatic presentation is rare. This case highlights the importance of close monitoring and observation in yellow oleander ingestion cases, even in the absence of symptoms, due to variable absorption kinetics and potential delayed onset of toxicity. Our findings also underscore the need for public health awareness regarding the identification and dangers of toxic plants like yellow oleander, especially as they are commonly grown at home.

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Section: Discussionmentioning

confidence: 99%

“…This higher dose is due to the lower affinity of Fab for natural cardiac glycosides in oleanders [ 14 ]. Atropine may be used for bradycardia [ 13 ]. Clinical assessment is key; asymptomatic patients who are hemodynamically stable, appear well, and have a normal ECG 24 hours post ingestion can likely be safely discharged [ 6 ].…”

Section: Discussionmentioning

confidence: 99%