Acute poisoning of aconitum: A case report and resuscitative emergency management with amiodarone
Aconitine, a plant alkaloid is a usual constituent of various over-the-counter herbal remedies and is an uncommon cause of deliberate poisoning. Herein, we describe an unusual case of poisoning in a young male due to accidental ingestion of aconitine tincture. On presentation, his electrocardiogram...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2022-01-01
|
| Series: | Medical Journal of Dr. D.Y. Patil Vidyapeeth |
| Subjects: | |
| Online Access: | http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2022;volume=15;issue=5;spage=791;epage=794;aulast=Jesrani |
| _version_ | 1798018255705604096 |
|---|---|
| author | Gautam Jesrani Amanjot Kaur Monica Gupta Harsheel Gupta |
| author_facet | Gautam Jesrani Amanjot Kaur Monica Gupta Harsheel Gupta |
| author_sort | Gautam Jesrani |
| collection | DOAJ |
| description | Aconitine, a plant alkaloid is a usual constituent of various over-the-counter herbal remedies and is an uncommon cause of deliberate poisoning. Herein, we describe an unusual case of poisoning in a young male due to accidental ingestion of aconitine tincture. On presentation, his electrocardiogram documented ventricular arrhythmias for which amiodarone was administered promptly. This led to considerable improvement in heart rhythm. The patient recovered gradually with this management and achieved normal sinus rhythm. He was completely asymptomatic within 5 days of treatment and subsequently discharged. Our management with amiodarone narrates the importance of this drug in aconitine poisoning, which can prove to be fatal in the absence of any intervention or delay in diagnosis. Nonexistence of specific antidote also establishes amiodarone as a standard remedy. |
| first_indexed | 2024-04-11T16:20:53Z |
| format | Article |
| id | doaj.art-52b84ccb193f441292a7b72301afecca |
| institution | Directory Open Access Journal |
| issn | 2589-8302 2589-8310 |
| language | English |
| last_indexed | 2024-04-11T16:20:53Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Medical Journal of Dr. D.Y. Patil Vidyapeeth |
| spelling | doaj.art-52b84ccb193f441292a7b72301afecca2022-12-22T04:14:21ZengWolters Kluwer Medknow PublicationsMedical Journal of Dr. D.Y. Patil Vidyapeeth2589-83022589-83102022-01-0115579179410.4103/mjdrdypu.mjdrdypu_182_21Acute poisoning of aconitum: A case report and resuscitative emergency management with amiodaroneGautam JesraniAmanjot KaurMonica GuptaHarsheel GuptaAconitine, a plant alkaloid is a usual constituent of various over-the-counter herbal remedies and is an uncommon cause of deliberate poisoning. Herein, we describe an unusual case of poisoning in a young male due to accidental ingestion of aconitine tincture. On presentation, his electrocardiogram documented ventricular arrhythmias for which amiodarone was administered promptly. This led to considerable improvement in heart rhythm. The patient recovered gradually with this management and achieved normal sinus rhythm. He was completely asymptomatic within 5 days of treatment and subsequently discharged. Our management with amiodarone narrates the importance of this drug in aconitine poisoning, which can prove to be fatal in the absence of any intervention or delay in diagnosis. Nonexistence of specific antidote also establishes amiodarone as a standard remedy.http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2022;volume=15;issue=5;spage=791;epage=794;aulast=Jesraniaconitineamiodaroneidioventricular rhythm |
| spellingShingle | Gautam Jesrani Amanjot Kaur Monica Gupta Harsheel Gupta Acute poisoning of aconitum: A case report and resuscitative emergency management with amiodarone Medical Journal of Dr. D.Y. Patil Vidyapeeth aconitine amiodarone idioventricular rhythm |
| title | Acute poisoning of aconitum: A case report and resuscitative emergency management with amiodarone |
| title_full | Acute poisoning of aconitum: A case report and resuscitative emergency management with amiodarone |
| title_fullStr | Acute poisoning of aconitum: A case report and resuscitative emergency management with amiodarone |
| title_full_unstemmed | Acute poisoning of aconitum: A case report and resuscitative emergency management with amiodarone |
| title_short | Acute poisoning of aconitum: A case report and resuscitative emergency management with amiodarone |
| title_sort | acute poisoning of aconitum a case report and resuscitative emergency management with amiodarone |
| topic | aconitine amiodarone idioventricular rhythm |
| url | http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2022;volume=15;issue=5;spage=791;epage=794;aulast=Jesrani |
| work_keys_str_mv | AT gautamjesrani acutepoisoningofaconitumacasereportandresuscitativeemergencymanagementwithamiodarone AT amanjotkaur acutepoisoningofaconitumacasereportandresuscitativeemergencymanagementwithamiodarone AT monicagupta acutepoisoningofaconitumacasereportandresuscitativeemergencymanagementwithamiodarone AT harsheelgupta acutepoisoningofaconitumacasereportandresuscitativeemergencymanagementwithamiodarone |