title: Toxic Effects of Rhamnus alaternus: A Rare Case Report.
abstract: In Tunisia, there are about 478 species of plants commonly used in folk medicine. Medicinal plants and herbal remedies used are responsible for 2% of intoxications listed by Tunisian National Poison Center. Most cases are related to confusion between edible plants and toxic plants lookalikes or to an excessive consumption of therapeutic plants. We report the case of a 58-year-old man admitted to the Emergency Department of the Regional Hospital of Zaghouan (Tunisia), with renal failure and rhabdomyolysis. The patient reported having daily consumption of a homemade tea based on Mediterranean Buckthorn roots, during the last 6 months to treat type 2 diabetes. The aim of this work was to establish an association between the consumption of the herbal remedy and the occurrence of both renal failure and rhabdomyolysis. No similar cases have been reported in recent literature.
authors.affiliation: Teaching Department of Emergency and Intensive Care Medicine, Regional Hospital of Zaghouan, Street of Republic, 1100 Zaghouan, Tunisia.
authors.forename: H
authors.initials: H
authors.lastname: Ben Ghezala
authors.affiliation: Research Laboratory of Toxicology-Environment LR12SP07, Laboratory of Toxicology, Center for Emergency Medical Assistance, Montfleury, 1008 Tunis, Tunisia.
authors.forename: N
authors.initials: N
authors.lastname: Chaouali
authors.affiliation: Research Laboratory of Toxicology-Environment LR12SP07, Laboratory of Toxicology, Center for Emergency Medical Assistance, Montfleury, 1008 Tunis, Tunisia.
authors.forename: I
authors.initials: I
authors.lastname: Gana
authors.affiliation: Teaching Department of Emergency and Intensive Care Medicine, Regional Hospital of Zaghouan, Street of Republic, 1100 Zaghouan, Tunisia.
authors.forename: S
authors.initials: S
authors.lastname: Snouda
authors.affiliation: Research Laboratory of Toxicology-Environment LR12SP07, Laboratory of Toxicology, Center for Emergency Medical Assistance, Montfleury, 1008 Tunis, Tunisia.
authors.forename: A
authors.initials: A
authors.lastname: Nouioui
authors.affiliation: Research Laboratory of Toxicology-Environment LR12SP07, Laboratory of Toxicology, Center for Emergency Medical Assistance, Montfleury, 1008 Tunis, Tunisia.
authors.forename: I
authors.initials: I
authors.lastname: Belwaer
authors.affiliation: Teaching Department of Emergency and Intensive Care Medicine, Regional Hospital of Zaghouan, Street of Republic, 1100 Zaghouan, Tunisia.
authors.forename: J
authors.initials: J
authors.lastname: Ouali
authors.affiliation: Teaching Department of Emergency and Intensive Care Medicine, Regional Hospital of Zaghouan, Street of Republic, 1100 Zaghouan, Tunisia.
authors.forename: M
authors.initials: M
authors.lastname: Kaddour
authors.affiliation: Research Laboratory of Toxicology-Environment LR12SP07, Laboratory of Toxicology, Center for Emergency Medical Assistance, Montfleury, 1008 Tunis, Tunisia.
authors.forename: W
authors.initials: W
authors.lastname: Masri
authors.affiliation: Research Laboratory of Toxicology-Environment LR12SP07, Laboratory of Toxicology, Center for Emergency Medical Assistance, Montfleury, 1008 Tunis, Tunisia.
authors.forename: D
authors.initials: D
authors.lastname: Ben Salah
authors.affiliation: Research Laboratory of Toxicology-Environment LR12SP07, Laboratory of Toxicology, Center for Emergency Medical Assistance, Montfleury, 1008 Tunis, Tunisia.
authors.forename: D
authors.initials: D
authors.lastname: Amira
authors.affiliation: Research Laboratory of Toxicology-Environment LR12SP07, Laboratory of Toxicology, Center for Emergency Medical Assistance, Montfleury, 1008 Tunis, Tunisia.
authors.forename: H
authors.initials: H
authors.lastname: Ghorbal
authors.affiliation: Research Laboratory of Toxicology-Environment LR12SP07, Laboratory of Toxicology, Center for Emergency Medical Assistance, Montfleury, 1008 Tunis, Tunisia.
authors.forename: A
authors.initials: A
authors.lastname: Hedhili