title: Successful Rescue of a Patient with Acute Aconitine Poisoning Complicated by Polycystic Renal Hemorrhage.
abstract: BACKGROUND
  Aconitine is a highly toxic diterpenoid alkaloid, produced by plants of the Aconitum genus, that is still used in Chinese herbal medicines. Aconitine poisoning remains common in China and other parts of Asia.
  
  
  METHODS
  A 48-year-old man received a diagnosis of aconitine poisoning after ingesting herbal medicinal wine made with caowu, which is made from Aconitum kusnezoffii roots, and was admitted to our hospital' s emergency department. Electrocardiography and thoracoabdominal computed tomography showed cardiovascular toxicity from aconitine poisoning along with polycystic renal hemorrhaging. Because the arrhythmia was not controlled with lidocaine, blood purification with a reduced dosage of heparin was performed to treat the arrhythmia and to avoid increasing the bleeding of the polycystic renal hemorrhage. The patient recovered from aconitine poisoning and polycystic kidney hemorrhage.
  
  
  CONCLUSIONS
  This case significantly advances our understanding of hemoperfusion with reduced heparin for the treatment of ventricular arrhythmia caused by aconitine poisoning.
authors.affiliation: Department of Emergency Medicine, Wenzhou People's Hospital, China.
authors.forename: Xinguo
authors.initials: X
authors.lastname: Chen
authors.forename: Ruike
authors.initials: R
authors.lastname: Wu
authors.forename: Huanzhi
authors.initials: H
authors.lastname: Jin
authors.forename: Renxian
authors.initials: R
authors.lastname: Gao
authors.forename: Baohua
authors.initials: B
authors.lastname: Yang
authors.forename: Qian
authors.initials: Q
authors.lastname: Wang
mesh_terms: D000157:Aconitine / Q000506:poisoning*; D004562:Electrocardiography; D006470:Hemorrhage / Q000150:complications*; D029001:Herbal Medicine; D006801:Humans; D008297:Male; D008875:Middle Aged; D011041:Poisoning / Q000150:complications / Q000503:physiopathology / Q000628:therapy; D007690:Polycystic Kidney Diseases / Q000150:complications*; D014057:Tomography, X-Ray Computed
chemical_list: D000157:Aconitine