Intoxication with taxus baccata: cardiac arrhythmias following yew leaves ingestion.
The use of yew leaves (Taxus Baccata) as a means of deliberate self-harm is infrequent. The potent effect of the toxin is primarily cardiac and results in rhythm alterations and ultimately ventricular fibrillation. As there is no known antidote, and classic antiarrhythmic therapy proves to be ineffective, a prompt diagnosis is of great importance as immediate supportive action is the only valuable alternative. This case describes a 43-year-old women who attempted suicide by ingesting the leaves of Taxus Baccata. We discuss the effects and the difficulty of treatment associated with yew leaf poisoning.
Willaert
Willem
W
Department of Cardiology, Imelda Ziekenhuis, Bonheiden, Belgium.
Claessens
Philip
P
Vankelecom
Bart
B
Vanderheyden
Marc
M
D000328:Adult; D001919:Bradycardia / Q000139:chemically induced* / Q000503:physiopathology; D004562:Electrocardiography / Q000187:drug effects*; D017809:Fatal Outcome; D005260:Female; D006329:Heart Conduction System / Q000187:drug effects / Q000503:physiopathology; D006801:Humans; D018515:Plant Leaves / Q000506:poisoning; D010939:Plant Poisoning / Q000175:diagnosis* / Q000503:physiopathology; D012008:Recurrence; D013405:Suicide; D013406:Suicide, Attempted; D020946:Taxus / Q000506:poisoning*; D014693:Ventricular Fibrillation / Q000139:chemically induced* / Q000503:physiopathology