The clinical presentation and diagnosis of Tejocote root toxicity causing Mobitz Type 1 remains a scarcely clinical phenomenon, often resulting in delayed diagnosis and treatment. This case report highlights a 30-year-old female presenting with a constellation of symptoms, including fatigue, dizziness, chest pressure, myalgias, nausea, vomiting, and peripheral tingling. Significantly, the patient had been using Tejocote root as an over-the-counter laxative acquired from Mexico. Laboratory findings revealed detectable Digoxin levels in her bloodstream, while an electrocardiogram (EKG) indicated sinus bradycardia with Mobitz Type 1 heart block. The patient was treated with a single dose of atropine 0.5 mg IV push. A repeat EKG before discharge showed resolution of the Mobitz type 1. This case underscores the potential cardiovascular repercussions of Tejocote root consumption and emphasizes the importance of heightened clinical awareness, especially in regions where such herbal supplement usage is prevalent.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10576468 | PMC |
http://dx.doi.org/10.7759/cureus.45228 | DOI Listing |
HeartRhythm Case Rep
November 2024
Division of Cardiology, Section of Cardiac Electrophysiolog, Temple Heart & Vascular Institute, Temple University Hospital, Philadelphia, Pennsylvania.
Herzschrittmacherther Elektrophysiol
December 2024
Professor of Medicine, University of South Florida, 33606, Tampa, FL, USA.
JACC Case Rep
October 2024
Pediatric Department, King Fahad Central Hospital, Jazan, Saudi Arabia.
Rheumatic fever (RF) remains a significant global health concern, particularly in regions with limited access to health care. Despite its association with group A streptococcal infections, diagnosing RF can be challenging because of its diverse clinical presentations, including cardiac manifestations such as heart block. We present the case of a 13-year-old boy initially misdiagnosed with appendicitis whose subsequent evaluation revealed acute RF (ARF) with associated cardiac complications, including Mobitz type II heart block.
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Department of Cardiology, Beijing Ditan Hospital Affiliated to Capital Medical University, Beijing, 100015, China.
J Med Invest
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Department of Orthopedics, Tokushima University, 3-18-15 Kuramoto, Tokushima, Tokushima 770-8503, Japan.
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