Open AccessSevere Oleander Poisoning Presenting with Hyperkalaemia and Unusual Electrocardiographic Changes
Author(s) -
Satyabrata Guru,
Anupama Behera,
Sadananda Barik,
Upendra Hansdah,
Chitta Ranjan Mohanty,
Sangeeta Sahoo
Publication year - 2021
Publication title -
european journal of case reports in internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.125
H-Index - 1
ISSN - 2284-2594
DOI - 10.12890/2021_003044
Subject(s) - medicine , hyperkalemia , cardiology , electrocardiography , atrioventricular block , anesthesia
Background: Hyperkalaemia in oleander (Nerium oleander) poisoning has been associated with a poor prognosis. Different electrocardiographic (ECG) presentations are possible because of vagotonia and hyperkalaemia. Methods/Results: We report a series of three cases of oleander poisoning in which ECG showed unusual hyperkalaemia features, such as bradyarrhythmia, sinoatrial block, atrioventricular block and junctional rhythm. Conclusions: If arterial blood gas analysis or laboratory values indicate hyperkalaemia in oleander poisoning, the hyperkalaemia should be treated immediately, even if the ECG does not show typical hyperkalaemia features.