[Acute dietary poisoning by white hellebore (Veratrum album L.). Clinical and analytical data. A propos of 5 cases]

Ann Med Interne (Paris). 1985;136(2):125-8.
[Article in French]

Abstract

Five cases of acute accidental poisoning with White Hellebore are reported. All cases occurred several minutes after the ingestion of home-made gentian wine. The clinical signs were nausea, vomiting, abdominal pain, hypotension and bradycardia. The initial ECG showed sinus bradycardia in 4 cases. In one patient, complete atrioventricular block with an ectopic atrial bradycardia and an intermittent idioventricular rhythm was recorded. Symptomatic treatment and/or atropine led to recovery within a few hours. These symptoms suggested poisoning with a veratrum alkaloid. The White Hellebore (Veratrum Album L.) and the Yellow Gentian (Gentiana Lutea L.) often grow side by side in the fields; it is easy to confuse the two plants before they flower if one is not a botanist. Each gentian wine was analysed by thin layer chromatography and chemical ionisation spectrometry. All the wines contained Veratrum alkaloids.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Abdomen
  • Adult
  • Aged
  • Atropine / therapeutic use
  • Bradycardia / etiology
  • Cardiovascular Diseases / etiology*
  • Female
  • Gastrointestinal Diseases / etiology*
  • Humans
  • Hypotension / etiology
  • Male
  • Middle Aged
  • Nausea / etiology
  • Pain / etiology
  • Plant Poisoning* / therapy
  • Plants, Medicinal*
  • Plants, Toxic*
  • Veratrum*
  • Vomiting / etiology

Substances

  • Atropine