Missed a beat: Is it your Ayurvedic drug?
Journal Title: International Journal of Medical Research and Review - Year 2016, Vol 4, Issue 7
Abstract
24 year male presented with watery diarrhoea, 10-15 episodes/day since 2 days, vomiting, abdominal pain and giddiness since 1 day. Patient was hypotensive and had bradycardia. Rest of systemic examination was normal. ECG showed junctional bradycardia. Serum electrolytes, creatinine, Thyroid Function Tests were within normal limits. Troponin T levels were normal. On enquiry, patient gave history of ingestion of ayurvedic drug. Tribhuvankirtiras and mahashankvati for 1 day prior to symptoms, for dyspepsia. Patient was started on inotropic support with fluid correction for hypotension. Clinical diagnosis of arsenic and aconite toxicity was made. The drug samples showed high levels of Arsenic and Mercury. Aconite level could not be done due to unavailability of resources. Diagnosis of drug induced aconite and arsenic toxicity was made. With discontinuation of ayurvedic drugs and supportive management, patient improved symptomatically within 3 days with restoration of normal sinus rhythm.
Authors and Affiliations
Kavita S Joshi, Gajanan A Panandikar, Yogesh G Kuntalwad, Smrati Bajpai
Keywords
Related Articles
- EP ID EP230588
- DOI 10.17511
- Views 135
- Downloads 0
Lesions of nasal cavity, paranasal sinuses and nasopharynx: a clinicopathological study
Background: A variety of non-neoplastic and neoplastic lesions of nasal cavity, paranasal sinuses and nasopharynx are commonly encountered in clinical practice. The aim of this study was to study clinical and histopathol...
Fine needle aspiration cytology in the diagnosis of Tuberculous lymphadenitis and utility of Ziehl Neelsen stain benefits and pitfalls
Introduction: In a developing country like India, tuberculous lymphadenitis is one of the most common presentations at OPDs. However, anti-tubercular treatment cannot be administered only on clinical suspicion. Cytomorph...
Clinical and cyto-histopathological study of Hansen’s disease in teaching government hospital in Mahakausal Region
Background: Hansen’s disease still remains a significant public health problem worldwide, especially in developing countries like India. Patients suffering from Hansen’s disease can remain undiagnosed for a longtime, bec...
Study of the effect of intrathecal dexmedetomidine as an adjuvant in spinal anesthesia for Gynecological Surgery
Background: A randomized controlled study was designed to investigate the effects of addition of dexmetomedine to hyperbaric bupivacaine 0.5% for spinal anaesthesia in patients undergoing gynaecological surgeries, in ter...
Study on glaucoma awareness among the rural population of central Kerala
Background: Glaucoma is one among the leading causes of irreversible blindness in India. Lack of awareness and lack of knowledge of this disease is the most important cause for the late presentation which leads to blindn...