Cleistanthus collinus poisoning.
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.
Benjamin
S P E
SP
Departments of Medicine and Nephrology, CSI Kalyani Multispeciality Hospital, Mylapore, Chennai.
Fernando
M Edwin
ME
Jayanth
J Jerene
JJ
Preetha
B
B
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
D006027:Glycosides; D017705:Lignans; D014118:Toxins, Biological; C010088:cleistanthin; D000111:Acetylcysteine