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Clinical Toxicology Volume 56, 2018 - Issue 6
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Letter to the Editor

Letter in response to “fatal cardiac glycoside poisoning due to mistaking foxglove for comfrey”

Adrienne HughesDepartment of Emergency Medicine, Oregon Health & Science University, Portland, OR, USACorrespondence[email protected]
,
Robert G. HendricksonDepartment of Emergency Medicine, OHSU, Portland, OR, USA
,
Betty Chia-Chi ChenWashington Poison Center, Division of Emergency Medicine, University of Washington, Seattle, WA, USA
&
Matthew ValentoWashington Poison Center, Division of Emergency Medicine, University of Washington, Seattle, WA, USA
Pages 447-449 | Received 12 Sep 2017, Accepted 24 Oct 2017, Published online: 02 Nov 2017

References

  • Wu IL, Yu JH, Lin CC, et al. Fatal cardiac glycoside poisoning due to mistaking foxglove for comfrey. Clin Toxicol. 2017;55:670–673.
  • Dickstein ES, Kunkel FW. Foxglove tea poisoning. Am J Med. 1980;69:167–169.
  • Vithayathil MK, Edwards M. Comfrey herbal remedy causing second-degree heart block: do not be outfoxed by digitalis. BMJ Case Rep. 2016 [cited 2016 Dec 1]. doi:10.1136/bcr-2016-216995
  • Lin CC, Yang CC, Phua DH, et al. An outbreak of foxglove leaf poisoning. J Chin Med Assoc. 2010;73:97–100.
  • Turley AJ, Muir DF. ECG for physicians: a potentially fatal case of mistaken identity. Resuscitation. 2008;76:323–324.
  • Bain RJ. Accidental digitalis poisoning due to drinking herbal tea. Br Med J (Clin Res Ed). 1985;290:1624.
  • Lockie T, Willcocks M, Harrington D. An unusual case of atrioventricular heart block in a young vegan. Int J Cardiol. 2008;125:e12–e13.
  • Howland, M. Antidotes in Depth. In: Hoffman RS, Howland M, Lewin NA, et al., editors. Goldfrank‘s toxicologic emergencies, 10th ed. New York, NY: McGraw-Hill; 2015. p. 904–908.

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