Cardiotoxicity with Yellow Cow Dung Poisoning.

Cow dung powder coloring agent poisoning is common in Southern Tamil Nadu. Both yellow and green varieties are common. Yellow cow dung poisoning usually produces central nervous system (CNS) and hepatic involvement as well as gastrointestinal problems.

A case of cyanotic L-transposition with complete heart block in an adult female who had three in-hospital normal deliveries.

A 48-year-old female presented with complete heart block. On evaluation, it was diagnosed as a congenital cyanotic heart disease, namely, L-transposition of great arteries (L-TGA) with Fallot's physiology. She led the normal life of a manual laborer and had three hospital deliveries and yet escaped detection of her cardiac condition.