scholarly journals Cardiovascular collapse due to wild honey Intoxication: A case report

2017 ◽  
Vol 13 (2) ◽  
pp. 170-172
Author(s):  
Bijaya Devi Aryal ◽  
S Niraula ◽  
GB Malla ◽  
S Niraula
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Indigenous People ◽  
Black Sea ◽  
The Black Sea ◽  
Cardiovascular Collapse ◽  
Av Block ◽  
Mad Honey ◽  
Himalayan Belt ◽  
Life Threatening

Background: Wild honey has been traditionally been used by indigenous people for its medicinal, aphrodisiac and hallucinogenic properties in Nepal and some other countries. Wild (mad) honey intoxication is one of the rarest presentations to emergency department and is caused by ingestion of wild honey obtained from the nectar of Rhododendron species on the higher altitudes. The cause of mad honey poisoning is the toxin grayanotoxin, found in such wild honey. It can also be caused by consuming the leaves, flowers of Rhododendron from Himalayan belt. Wild honey intoxication has widely been reported from Turkey and the regions around the Black Sea. Some cases have been reported in the few hospitals in Kathmandu and Chitwan. However, such cases have rarely been reported in eastern Nepal. The intoxication might present with mild symptoms of gastrointestinal, cardiovascular and neurological systems or might also present in rare life threatening form with AV block and cardiovascular collapse. Here, we report a case of a seventy three years old man who presented to our emergency department with cardiovascular collapse in the form of severe bradycardia, AV block and hypotension after wild honey consumption.Health Renaissance 2015;13(2): 170-172

scholarly journals A case report on mad (wild) honey intoxication

2015 ◽  
Vol 5 (2) ◽  
pp. 40-41 ◽  
Author(s):  
B Shrestha ◽  
P Paudel
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Black Sea ◽  
Central Region ◽  
Case Reports ◽  
East Region ◽  
Mad Honey

Mad honey disease is one of the rarest disease caused by consumption of leaves, flowers or its products such as honey. The toxicity is secondary to consumption of honey produced by pollen and nectars found in rhodenderon species. Mad honey is mostly found in Black Sea and south east region of Turkey. However 3 cases has been reported in the few hospitals in Kathmandu, Nepal. However until now there is not such case reports reported in Chitwan, mid central region of Nepal. Here, we report a case of 40 years old man who reported to our emergency department with complaint of dizziness, vomiting and blackout with first examination of bradycardia and hypotension in consequences of mad honey consumption.

scholarly journals Life–threatening Pulmonary Oedema Secondary to Tracheal Compression

2002 ◽  
Vol 30 (6) ◽  
pp. 804-806 ◽  
Author(s):  
H. Butterell ◽  
R. H. Riley
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Airway Obstruction ◽  
Pulmonary Oedema ◽  
Negative Pressure ◽  
Upper Airway ◽  
Tracheal Compression ◽  
Negative Pressure Pulmonary Oedema ◽  
Life Threatening ◽  
Thyroid Goitre

We present a case of negative pressure pulmonary oedema due to an overlooked cause. A 45-year-old female patient presented to the emergency department unconscious with severe pulmonary oedema. Subsequent investigations revealed a thyroid goitre causing significant tracheal compression. This case report highlights an extremely rare but potentially dangerous sequela of upper airway obstruction.

scholarly journals Flushing of an intravenous catheter

2019 ◽  
Vol 29 (3) ◽  
pp. 614-618
Author(s):  
Rutger C.C. Hengeveld ◽  
Bianca E. Olofsen ◽  
Edmée C. van Dongen-Lases ◽  
Peter A. Leenhouts ◽  
Victor F.H.A. Hakkenberg van Gaasbeek ◽  
...  
Keyword(s):  
Emergency Department ◽  
Renal Function ◽  
Case Report ◽  
Sodium Chloride ◽  
Continuous Infusion ◽  
Intravenous Catheter ◽  
Blood Samples ◽  
Close Proximity ◽  
Laboratory Results ◽  
Life Threatening

Introduction: Phlebotomy is an error-prone process in which mistakes are difficult to reveal. This case report describes the effect on laboratory results originating from a blood sample collected in close proximity to an intravenous catheter. Materials and methods: A 69-year-old male patient was referred to the Emergency department where pneumonia was suspected. Phlebotomy was performed to collect blood samples to assess electrolytes, renal function, liver function, infection and haematological parameters. Results: The laboratory analysis showed reduced potassium and calcium concentrations. To prevent life-threatening cardiac failure the clinician decided to correct those electrolytes. Remarkably, the electrocardiogram showed no abnormalities corresponding to hypokalaemia and hypocalcaemia. This observation, in combination with an overall increase in laboratory parameters with the exception of sodium and chloride, led to the suspicion of a preanalytical error. Retrospectively, an intravenous catheter was inserted in close proximity of the puncture place but no continuous infusion was started prior to phlebotomy. However, the intravenous catheter was flushed with sodium chloride. Since potential other causes were excluded, the flushing of the intravenous catheter with sodium chloride prior to phlebotomy was the most probable cause for the deviating laboratory results and subsequently for the unnecessary potassium and calcium suppletion. Conclusion: This case underlines the importance of caution in the interpretation of laboratory results obtained from specimens that are collected in the proximity of an intravenous catheter, even in the absence of continuous infusion.

scholarly journals Spontaneous Heterotopic Pregnancy: Case Report and Literature Review

Medicina ◽  
2020 ◽  
Vol 56 (8) ◽  
pp. 365 ◽  
Author(s):  
Miglė Černiauskaitė ◽  
Brigita Vaigauskaitė ◽  
Diana Ramašauskaitė ◽  
Mindaugas Šilkūnas
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Laboratory Tests ◽  
Heterotopic Pregnancy ◽  
Fallopian Tubes ◽  
Lower Abdomen ◽  
Healthy Baby ◽  
Extrauterine Pregnancy ◽  
Threatening Condition ◽  
Life Threatening

Heterotopic pregnancy is defined as a condition when intrauterine and extrauterine pregnancy occur simultaneously. It is a life-threatening condition that requires immediate and accurate diagnostics and treatment. We present a case of a 28-year-old primigravida female who conceived spontaneously and at her seventh week of gestation and was presented to the emergency department with weakness and acute pain in lower abdomen. Laboratory tests and transvaginal ultrasonography revealed the diagnosis of heterotopic pregnancy. Urgent laparoscopic salpingotomy was chosen as a treatment option. The ectopic pregnancy was successfully removed with the preservation of the intrauterine embryo and fallopian tubes. The course of pregnancy after the surgery was without complications, and a healthy baby was delivered at the 39th week of gestation. When treated properly and on time, a heterotopic pregnancy can result in live childbirth with favorable outcomes for both the child and the mother.

scholarly journals An Unusual Presentation of Postpartum Spontaneous Coronary Artery Dissection

2019 ◽  
Vol 3 (3) ◽  
pp. 228-232
Author(s):  
Jonathan Alterie ◽  
Francis Villanueva ◽  
Mohamed Arekat ◽  
April Brill
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Coronary Artery ◽  
Cardiac Biomarkers ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Chest Discomfort ◽  
Coronary Artery Dissection ◽  
Life Threatening ◽  
Multiparous Female

The postpartum population is one with a unique physiologic profile that predisposes these patients to rare and often life-threatening conditions. Herein, we discuss a case of a 37-year-old, multiparous female who presented to the emergency department with vague chest discomfort 14 days after delivering her sixth child via vaginal delivery. The patient was found to have elevated cardiac biomarkers and was ultimately diagnosed with pregnancy-related spontaneous coronary artery dissection (P-SCAD). This case report discusses the evaluation, pathophysiology, workup, and management of P-SCAD.

scholarly journals Life-threatening Anemia Diagnosis Due to Myoma Uteri in the Emergency Department: A Case Report

2019 ◽  
pp. 24-25
Author(s):  
Abdullah Algin ◽  
İsmail Tayfur ◽  
Mustafa Ahmet Afacan ◽  
Şahin Çolak ◽  
Mehmet Sarıaydın ◽  
...  
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Life Threatening ◽  
Myoma Uteri

Does an allergy to fish pre-empt an adverse protamine reaction? A case report and a literature review

Perfusion ◽  
2008 ◽  
Vol 23 (6) ◽  
pp. 369-372 ◽  
Author(s):  
C Collins ◽  
A O’Donnell
Keyword(s):  
Risk Factors ◽  
Adverse Reaction ◽  
Case Report ◽  
Cardiopulmonary Bypass ◽  
Literature Review ◽  
Cardiovascular Collapse ◽  
Blood Products ◽  
Realistic Possibility ◽  
Life Threatening ◽  
First Time

The operating theatre exposes patients to myriad potential agents which could result in a life-threatening anaphylactic reaction. Anaesthetic drugs, blood products, and latex are only some of the possible allergens. Reactions are deemed to be anaphylactic when immediate sensitivity is combined with cardiovascular collapse. A patient who had a known allergy to shellfish presented for first time cardiopulmonary bypass. The perfusion team were concerned that there was a realistic possibility that an adverse reaction to protamine could occur. Anaphylactic reactions to protamine in patients allergic to fish have been reported. The anaesthetic team were informed and the necessary precautions taken. We report on the outcome for our patient and also discuss other risk factors and the types of reactions that can result when an adverse reaction to protamine occurs.

scholarly journals Spontaneous Isolated Celiac Artery Dissection: A Case Report

2020 ◽  
Vol 4 (3) ◽  
pp. 414-416
Author(s):  
Clifford Freeman ◽  
Aaron Lacy ◽  
Aubrey Miner ◽  
Devin Rogers ◽  
Austin Smith ◽  
...  
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Case Report ◽  
Celiac Artery ◽  
Chief Complaint ◽  
Diagnostic Tools ◽  
Artery Dissection ◽  
Emergency Physicians ◽  
Threatening Condition ◽  
Life Threatening

Introduction: Abdominal pain is a common chief complaint that can represent a wide breadth of diagnoses, ranging from benign to life-threatening. As our diagnostic tools become more sophisticated, we are able to better identify more causes of potentially life-threatening diseases. One such disease that is relatively unfamiliar to clinicians is spontaneous isolated celiac artery dissection (SICAD). Case Report: We describe a case of a 46-year-old man who presented to our emergency department with a chief complaint of abdominal pain and was found to have a SICAD and was successfully treated with anticoagulation, antihypertensives, and observation. Conclusion: It is important for emergency physicians to keep this potentially life-threatening condition in mind and to know the appropriate first steps once identified.

scholarly journals Cyanide intoxication by apricot kernels: A case report and literature review

2019 ◽  
Vol 15 (2) ◽  
Author(s):  
Faruk Ekinci ◽  
Dincer Yildizdas ◽  
Alper Ates ◽  
Naime Gökay
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Literature Review ◽  
Sudden Onset ◽  
Toxic Effects ◽  
Cyanide Poisoning ◽  
Life Threatening ◽  
Apricot Kernels ◽  
Cyanide Intoxication

Acute cyanide intoxication is a serious healthcare problem due to its potentially life threatening and fatal toxic effects. Ingestion of cyanide containing foods is an important source of cyanide poisoning and apricot kernels contain significant amounts of such cyanogenic compounds. Herein we report a previously healthy 4- year-old boy admitted to our emergency department with complaints of vomiting and sudden onset of unconsciousness after ingestion of apricot kernels. He was diagnosed as acute cyanide poisoning and treated with a specific antidote; hydroxocobalamin. Our report concludes with previous cases of cyanide poisoning after ingestion of apricot kernels and a quick look at sources, manifestations and treatment of acute cyanide poisoning.

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