KMID : 0385920110220030291
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Journal of the Korean Society of Emergency Medicine 2011 Volume.22 No. 3 p.291 ~ p.294
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Digitalis (Cardiac Glycoside) Poisoning after Foxglove Ingestion: Case Report
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Seong Gil-Myeong
Joo Seung-Jae Kim Song-Yi
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Abstract
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Digoxin, also known as digitalis, is a purified cardiac glycoside extracted from the foxglove plant, Digitalis purpurea. Digoxin-mediated cardiac glycoside toxicity due to accidental plant ingestion can occur. Presently, a 69-year-old woman visited our emergency department with epigastric pain, nausea and vomiting after ingestion of a plant. Physical examination and initial laboratory blood test results were within normal limits. An electrocardiogram (ECG) showed sinus bradycardia with first degree AV block and diffuse ST-segment depressions in a ¡°scooping¡± pattern. The plant was identified as D. purpurea, and the patient¡¯s serum digoxin level was 2.89 ng/mL. The patient was treated conservatively in the absence of any life-threatening event. Recovery was uneventful.
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KEYWORD
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Digitalis, Plant, Poisoning, Electrocardiography
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