Abstract
A case is presented of cardiac glycoside poisoning in a 1-year-old patient from the plant Nerium oleander (common oleander). The patient had bradycardia, vomiting, altered level of consciousness, and no history of ingestion. Antibody-based digoxin assays may cross-react with other cardiac glycosides nonquantitatively. Chromatographic techniques can be used in the specific diagnosis.
MeSH terms
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Animals
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Anti-Arrhythmia Agents / immunology
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Bradycardia / etiology*
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Cardenolides / isolation & purification
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Chromatography, High Pressure Liquid
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Cross Reactions
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Digoxin / immunology
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False Positive Reactions
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Glycosides / poisoning*
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Humans
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Immunoassay / methods
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Infant
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Male
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Plant Poisoning / complications*
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Vomiting / etiology
Substances
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Anti-Arrhythmia Agents
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Cardenolides
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Glycosides
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oleandrigenin
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Digoxin
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oleandrin