Mistaken identity: severe vomiting, bradycardia and hypotension after eating a wild herb.
A 53-year-old woman presented with severe vomiting 3.5 hours after eating a boiled wild herb thought to be Hosta montana. She was alert, and did not complain of diplopia or numbness of her limbs. Her vital signs were temperature of 35.9°C, blood pressure of 84/33 mmHg, and heart rate of 59 beats/minute. There was no arrhythmia or conduction block on electrocardiogram. Her blood pressure and heart rate were decreased to 75/44 mmHg and 51 beats/minute at the minimum, respectively. Complete blood count and serum chemistry were normal. The herb was correctly identified when the patient's husband brought in the herb for identification.
Department of Neurology, National Hospital Organization Shiga Hospital, Higashi-oumi, Shiga, Japan. maeda-kengo@shiga-hosp.jp
Kengo
K
Maeda
Ryo
R
Idehara
Shingo
S
Kusaka
D001919:Bradycardia / Q000209:etiology*; D005260:Female; D031422:Hosta / Q000506:poisoning*; D006801:Humans; D007022:Hypotension / Q000209:etiology*; D008875:Middle Aged; D014839:Vomiting / Q000209:etiology*