Eating seeds from the ‘be still’ tree, yet having lucky nut poisoning: a case of acute yellow oleander poisoning

Fentanes, Emilio

doi:10.1136/bcr-2013-200392

Cited by 3 publications

(3 citation statements)

References 13 publications

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“…Bradycardia and heart block are the most frequently reported cardiac abnormalities. [5,6] Fig 3 . showing seeds of yellow oleander in stomach…”

Section: Discussionmentioning

confidence: 99%

“…In one study it was found to be the most common cause of acute poisoning in India. [5] Y. oleander toxicity is attributed to cardiac glycosides, including peruvoside, ruvoside, thevetin a, nerifolin and thevetin b. [8] Yellow oleander an ornamental shrub that usually grow up to 2 to 6 meters, leaves yielding a milky sap, and All parts of yellow oleander are toxic but roots and seeds are more toxic compared to other parts.…”

Section: Introductionmentioning

confidence: 99%

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Suicide disguised as homicide: A case report of yellow oleander poisoning

P¹,

G²

2018

JCBS

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Yellow oleander is an ornamental cardiotoxic plant found in tropical and subtropical areas of the World. Its toxicity is related to the content of cardio active glycosides, mainly oleandrin1. A 38-year-old fe-male was brought to to R.L Jalappa hospital, Mortuary, Kolar with history of consumption of unknown com-pound and succumbed to death at her residence. Initially deceased husband was suspected for committing homicide but after meticulous autopsy and FSL report it was found to be a case of yellow oleander poison-ing. This case report wherein the victim succumbed to instantaneous death following consumption of yel-low oleander. Key words: Yellow oleander, cardiotoxicity, oleandrin, homicide, & suicide

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“…Bradycardia and heart block are the most frequently reported cardiac abnormalities. [5,6] Fig 3 . showing seeds of yellow oleander in stomach…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Suicide disguised as homicide: A case report of yellow oleander poisoning

P¹,

G²

2018

JCBS

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“…Ingestion of yellow oleander can lead to poisoning. The pharmacokinetics of this poisoning vary based on the concentration of cardiac glycosides in the ingested plant part and the time elapsed since ingestion [ 3 ]. The toxicity severity depends on multiple factors, including the form of ingested seeds (e.g., crushed seeds are more toxic), the extent of gastrointestinal absorption, post-ingestion vomiting, and the individual's overall health and existing comorbidities [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Asymptomatic Presentation of Yellow Oleander Poisoning in a 57-Year-Old Saudi Woman: A Case Report

AlMuhaidib,

Alabdulwahab,

Al-Otaibi

et al. 2023

Cureus

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Yellow oleander ( Thevetia peruviana ), known for its cardiac glycosides, can cause severe poisoning with varied clinical manifestations, primarily affecting the cardiovascular system. We present a unique case of a 57-year-old Saudi woman with a history of type 2 diabetes, dyslipidemia, and previous meningioma excision who ingested 3.4 grams of yellow oleander fruit, mistaking it for an edible fruit. Remarkably, she remained asymptomatic with no gastrointestinal, neurological, or cardiovascular symptoms. Examination and investigations, including electrocardiograms and laboratory tests, showed no abnormalities. Despite the known high toxicity of yellow oleander and its documented fatal cases, our patient's asymptomatic presentation is rare. This case highlights the importance of close monitoring and observation in yellow oleander ingestion cases, even in the absence of symptoms, due to variable absorption kinetics and potential delayed onset of toxicity. Our findings also underscore the need for public health awareness regarding the identification and dangers of toxic plants like yellow oleander, especially as they are commonly grown at home.

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