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Food Confusion Between Edible and Poisonous Plants: A 22-Year Retrospective of the Southeastern France Poison Control Center.
Toxins (Basel)
December 2024
Aix Marseille Univ, APHM, INSERM, IRD, SESSTIM, Hôpital Sainte Marguerite, Clinical Pharmacology and Poison Control Centre, 13274 Marseille, France.
Objective: In some regions of the globe, accidental food confusion regarding plants can cause severe poisoning events and deaths. The aim of this study was to report on those confusions from the Marseille Poison Control Centre's (PCC) experience from 2002 to 2023.
Results: Over 22 years, 2197 food confusion events were managed with 321 different species.
Feud, Flower, and Fatal Electrocardiograms.
Cureus
January 2024
Cardiology, Sri Ramaswamy Memorial (SRM) Medical College Hospital and Research Center, Chennai, IND.
Oleander is a prevalent tropical plant used in many parts of India for deliberate self-harm. The active ingredients act in a mechanism similar to cardiac glycosides; hence, the toxicological profile is similar to digoxin toxicity. Cardiac toxicity occurs in the form of a heart block with concomitant ventricular arrhythmia.
View Article and Find Full Text PDFDeliberate Self-Poisoning with Plants in Southeastern France, a Poison Center 20-Year Report.
Toxins (Basel)
November 2023
Aix Marseille Univ, APHM, INSERM, IRD, SESSTIM, Hôpital Sainte Marguerite, Clinical Pharmacology and Poison Control Centre, 13009 Marseille, France.
Article Synopsis
- * The majority of poisonings (71%) stemmed from a predominant native species, and only four fatalities were reported, with most patients experiencing mild to moderate symptoms.
- * The study highlights the need for a specific treatment protocol due to a lack of standardized care, noting that only a small number of patients required antidotes such as Digifab or physostigmine.
Laurel but Hardy: unintended poisoning, a case report of oleander misidentification as bay laurel.
Toxicol Rep
December 2023
USD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, Italy.
Article Synopsis
- Oleander is a toxic plant with harmful cardiac glycosides that can lead to symptoms mimicking digoxin toxicity, such as gastrointestinal issues and heart problems.
- An 84-year-old man accidentally ingested an oleander leaf infusion, mistaking it for bay laurel, and experienced symptoms, requiring emergency treatment and monitoring.
- The case highlights the need for careful clinical evaluation in oleander poisoning, as standard tests may not effectively measure its cardiac glycosides, and prolonged monitoring is crucial for patient safety.
Persistent Cardioactive Glycosides Intoxication Related to Gastric Phytobezoar of Oleander Leaves.
Eur J Case Rep Intern Med
July 2023
Intensive Care Unit, Regional Hospital of Lugano, Department of Critical Care, Ente Ospedaliero Cantonale, Bellinzona, Switzerland.
Article Synopsis
- Nerium oleander contains toxic cardiac glycosides, and ingestion can lead to severe medical emergencies.
- A case of a 73-year-old man illustrates the dangers: he suffered serious symptoms including altered consciousness and heart block after consuming oleander leaves.
- Treatment involved various medications and ultimately required gastroscopy to remove an oleander phytobezoar, highlighting the need for aggressive interventions in cases of oleander intoxication.
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