Journal of the Chinese Medical Association
Volume 73, Issue 2 , Pages 97-100 , February 2010

An Outbreak of Foxglove Leaf Poisoning

  • Chun-Chi Lin

      Affiliations

    • Department of Medicine, National Yang-Ming University Hospital, I-Lan, Taipei, Taiwan, R.O.C.
    • ,
  • Chen-Chang Yang

      Affiliations

    • Division of Clinical Toxicology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C.
    • Department of Environmental and Occupational Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.
    • ,
  • Dong-Haur Phua

      Affiliations

    • Division of Clinical Toxicology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C.
    • Emergency Department, Tan Tock Seng Hospital, Singapore
    • ,
  • Jou-Fang Deng

      Affiliations

    • Division of Clinical Toxicology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C.
    • ,
  • Li-Hua Lu

      Affiliations

    • Emergency Department, Tungs' Taichung MetroHarbor Hospital, Taichung, Taiwan, R.O.C.
    • Corresponding Author InformationCorrespondence to: Dr Li-Hua Lu, Emergency Department, Tungs' Taichung MetroHarbor Hospital, 699, Section 1, Chungchi Road, Wuchi, Taichung 435, Taiwan, R.O.C.

Received 28 April 2009 ,Accepted 20 November 2009.

References 

  1. Kelly KL , Kimball BA , Johnston JJ . Quantitation of digitoxin, digoxin and their metabolites by high-performance liquid chromatography using pulsed amperometric detection . J Chromatogr A . 1995;711:289–295
  2. Rode D . Comfrey toxicity revisited . Trends Pharmacol Sci . 2002;23:497–499
  3. Bain RJ . Accidental digitalis poisoning due to drinking herbal tea . Br Med J (Clin Res Ed) . 1985;290:1624
  4. Porter R , Schultz D , Robertson WO . Alternative medicine toxicity: Digitalis poisoning! . J Toxicol Clin Toxicol . 1999;37:617
  5. Colls BM . A salutary lesson: three very unwise men . BMJ . 1999;318:1729
  6. Spain MM , Marraffa JM , Stroke CM . Toxicity after misidentification of foxglove for comfrey in the garden . Clin Toxicol . 2006;44:751
  7. Ramlakhan SL , Fletcher AK . It could have happened to Van Gogh: a case of fatal purple foxglove poisoning and review of the literature . Eur J Emerg Med . 2007;14:356–359
  8. Bismuth C , Gaultier M , Conso F , Efthymiou ML . Hyperkalemia in acute digitalis poisoning: prognostic significance and therapeutic implications . Clin Toxicol . 1973;6:153–162
  9. Lacassie E , Marquet P , Martin-Dupont S , Gaulier JM , Lachâtre G . A non-fatal case of intoxication with foxglove, documented by means of liquid chromatography-electrospray-mass spectrometry . J Forensic Sci . 2000;45:1154–1158
  10. Bateman DN . Digoxin-specific antibody fragments: how much and when? . Toxicol Rev . 2004;23:135–143

PII: S1726-4901(10)70009-5

doi: 10.1016/S1726-4901(10)70009-5

Journal of the Chinese Medical Association
Volume 73, Issue 2 , Pages 97-100 , February 2010

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