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KMID : 1013220060040010058
Jouranl of the Korean Society of Clinical Toxicology
2006 Volume.4 No. 1 p.58 ~ p.60
2 Cases of Toad Venom Intoxication
Kwon Cheong-Hoon

Ahn Jung-Hwan
Jeon Woo-Chan
Jung Yoon-Seok
Abstract
The venom gland of Toad contains large quantities of cardiac glycosides, and toad venom poisoning is similar to digitalis toxicity and carries a high mortality. Sometimes after ingestion of aphrodisiac pills which contain dried toad, a patient develops gastrointestinal symptoms and bradycardia, psychoneurologic symptoms. We have experienced 2 cases of toad venom intoxication, who ingested asian toads. Patients were presented to our ED with nausea, vomiting, and abdominal pain. The patients were peformed monitoring and conservative treatment and were fully recovered. Toad venom intoxication should be considered in patients with clinical manifestation of gastrointestinal irritation, cardiac arrhythmias, hyperkalemia, and detectable serum digoxin level without current medication of digoxin.
KEYWORD
Toad, Digoxin, Arrhythmia, Hyperkalemia
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