Typical Electrocardiographic Changes in A Patient with Acute Oleander Poisoning

Title: Typical Electrocardiographic Changes in A Patient with Acute Oleander Poisoning - A Case Report

Authors: Prof. Dr M.Senthilvelan, Dr D.Kanagaraj, Dr H.Resveen, Dr Jayaram Kosalram, Dr S.Senthilkumar, Dr P.Suganya, Dr G. Sivachandran, Dr G.Arulvenkatesh

DOI: http://dx.doi.org/10.18535/jmscr/v4i9.67

Abstract

The yellow oleander (The vetia peruviana) of Apocyanaceae family is common throughout the tropics and subtropics¹. Its seeds contain highly toxic cardiac glycosides like the vetins A and B and neriifolin. Ingestion of the seeds produces a clinical picture very similar to that of digoxin poisoning: gastrointestinal, central effects, and cardiac dysrhythmias like bradycardia, sinus and AV node block².

We report a case of Acute Oleander Poisoning in a 38 year old female patient who presented with ECG showing S-T segment depression with a “scooped” or “hockey stick” pattern that is fairly characteristic for digoxin toxicity. Yellow oleander poisoning resembles digoxin poisoning.

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Corresponding Author

Dr D.Kanagaraj

Postgraduate, Rajah Muthiah Medical College