Open AccessCrataegus mexicana (Tejocote) Exposure Associated with Cardiotoxicity and a Falsely Elevated Digoxin Level
Author(s) -
Katherine G Palmer,
Jacob A. Lebin,
Michael Cronin,
Suzan Mazor,
Rebekah Burns
Publication year - 2019
Publication title -
journal of medical toxicology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.534
H-Index - 49
eISSN - 1937-6995
pISSN - 1556-9039
DOI - 10.1007/s13181-019-00727-w
Subject(s) - medicine , digoxin , bradycardia , cardiotoxicity , sinus bradycardia , heart failure , anesthesia , vomiting , heart rate , toxicity , blood pressure
A species of hawthorn, Crataegus mexicana (tejocote), has been marketed as a weight-loss supplement that is readily available for purchase online. While several hawthorn species have shown clinical benefit in the treatment of heart failure owing to their positive inotropic effects, little is known about hawthorn, and tejocote in particular, when consumed in excess. We describe a case of tejocote exposure from a weight-loss supplement resulting in severe cardiotoxicity.