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2012, Number 1

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Medisur 2012; 10 (1)

Cascabela Thevetia (L) Lippold (known as covadonga) Poisoning. A Case Presentation

Escobar RR; Leiva AL; Morales EJA
Full text How to cite this article

Language: Spanish
References: 11
Page: 55-57
PDF size: 28.35 Kb.


Key words:

Poisoning, plants, medicinal, beverages, juices, cause of death.

ABSTRACT

The case of a 60 years olds male patient, who ingested a home remedy made out of two seeds of Cascabela Thevetia (L) Lippold (known as covadonga) that were shredded and then subjected to decoction as part of a remedy for a catarrhal state is presented. After 12 hours the patient developed vomiting, hypotension, tachycardia, chest tightness and intense dizziness. He went to his health subsystem, La Gomera, in the Health Area of the Marta Abreu Polyclinic, in Santa Clara, where the case was consulted to the poisoning control information service of Villa Clara. General measures and symptomatic treatment were oriented as well as urgent transference to the health area of secondary health care. While being transferred, an asystolic episode occurred. The patient did not overcome it and died from acute myocardial infarction.


REFERENCES

  1. Roig Mesa JT. Cabalonga. En: Plantas medicinales, aromáticas o venenosas de Cuba. La Habana: Editorial Científico-Técnica; 1974. p. 248-51.

  2. Marrero Díaz E, Arturo Alfonso H, Tablada Pérez R, Fuentes Fiallo VR, Sánchez Perera LM, Palenzuela Páez I, et al. Cascabela thevetia. En: Quesada J. Plantas tóxicas en el trópico. La Habana: Capitán San Luís; 2010. p. 99-101.

  3. Nelson LS, Shih RD, Balick MJ. Individual plants. En: Handbook of poisonous and injurious plants. 2nd ed. New York: Springer; 2007. p. 55-306.

  4. Escobar Román R, Leiva Acebey L. Toxicidad de las principales plantas ornamentales de Cuba. Medicentro[revista en Internet]. 2010[citada 12 May 2011];14(2):[aprox. 7 p.]. Disponible en: http://ftp.sld.cu/medicentro/pdf/ Sumario/Ano%202010/v14n2a10/001toxicidad.pdf.

  5. Kareru PG, Keriko JM, Kenji GM, Gachanja AN. Anti-termite and antimicrobial properties of paint made from Thevetia peruviana (Pers.) Schum. oil extract. Afr J Pharm Pharmacol. 2010;4(2):87-9.

  6. Klaassen CD, editor. Toxic effects of plants. En: Casarett and Doull´s Toxicology: The Basic Science of poisons. 7th ed. New York: McGraw-Hill; 2008. p. 1103-16.

  7. Henry JA, Wiseman HM. Plantas animales y toxinas naturales. En: Tratamiento de las intoxicaciones: manual para agentes de la atención primaria. Ginebra: OMS; 1998. p. 282-309.

  8. Arturo Alfonso H, Tablada Pérez R, Quesada Pastor N, Carballo Velázquez N, Acosta Pedroso B, Sánchez LM. Plantas tóxicas. La Habana: Capitán San Luís; 2000.

  9. Arroyave Hoyos CL, Gallego H, Téllez Mosquera J, Rodríguez Buitrago JR, Aristizabal JJ, Mesa Restrepo MB, et al. Intoxicación por plantas. En: Grupo de atención de emergencias y desastres. Guía para el manejo de urgencias toxicológicas. Bogotá: Ministerio de la Protección Social; 2008. p. 308-10.

  10. Hoffman RS, Nelson LS, Howland MA, Lewin NA, Flomenbaum NE, Goldfrank LR, et al. Cardiopulmonary Medication: Cardioactive steroids. En: Goldfrank´s Manual of Toxicologic emergencies. New York: McGraw-Hill Professional; 2007. p. 494-559.

  11. Nelson LS, Shih RD, Balick MJ. Poisons, Poisoning Syndromes, and Their Clinical Management: Poisoning by Plants with Cardioactive Steroids/Cardiac Glycosides. En: Handbook of poisonous and injurious plants. 2nd ed. New York: Springer; 2007. p. 19-34.




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Medisur. 2012;10