title: Cleistanthus collinus poisoning.
abstract: Cleistanthus collinus is an extremely toxic plant poison. Cleistanthin A and B, the toxins of Cleistanthus collinus, are diphyllin glycosides which produce cardiac arrhythmias, urinary potassium wasting, hypoxia, metabolic acidosis and hypotension. We report ARDS, distal renal tubular acidosis and distributive shock secondary to inappropriate vasodilatation in a case following ingestion of its leaves.
authors.affiliation: Departments of Medicine and Nephrology, CSI Kalyani Multispeciality Hospital, Mylapore, Chennai.
authors.forename: S P E
authors.initials: SP
authors.lastname: Benjamin
authors.forename: M Edwin
authors.initials: ME
authors.lastname: Fernando
authors.forename: J Jerene
authors.initials: JJ
authors.lastname: Jayanth
authors.forename: B
authors.initials: B
authors.lastname: Preetha
mesh_terms: D000111:Acetylcysteine / Q000008:administration & dosage; D000141:Acidosis, Renal Tubular / Q000209:etiology* / Q000628:therapy; D000328:Adult; D006027:Glycosides / Q000506:poisoning; D006801:Humans; D007008:Hypokalemia / Q000209:etiology / Q000628:therapy; D017705:Lignans / Q000506:poisoning; D008297:Male; D018515:Plant Leaves / Q000506:poisoning; D010939:Plant Poisoning; D010947:Plants, Toxic; D012128:Respiratory Distress Syndrome / Q000209:etiology* / Q000628:therapy; D012769:Shock / Q000209:etiology / Q000628:therapy; D014118:Toxins, Biological / Q000506:poisoning; D016896:Treatment Outcome; D014664:Vasodilation
chemical_list: D006027:Glycosides; D017705:Lignans; D014118:Toxins, Biological; C010088:cleistanthin; D000111:Acetylcysteine