Skip to main content
Top
Published in: Journal of Medical Case Reports 1/2022

Open Access 01-12-2022 | Nausea | Case report

Dried rhododendron flower ingestion presenting with bradycardia and hypotension: a case report

Authors: Sushil Baral, Binaya Kumar Baral, Pranit Sharma, Surendra Lal Shrestha

Published in: Journal of Medical Case Reports | Issue 1/2022

Login to get access

Abstract

Background

Rhododendron toxicity can be a life-threatening situation when manifested; it results in bradycardia and hypotension. Treatment remains challenging when it is complicated with refractory hypotension involving the multiorgan system if not treated early.

Case presentation

A 33-year-old Magar male presented with history of ingestion of two handfuls of white rhododendron flower. He had ingested the flowers believing that it would help relieve the pain and remove the materials stuck in his food pipe. Symptoms presented included muscular discomfort, dizziness, nausea, palpitation, tingling sensation around the face and lips, difficulty breathing, chest tightness, and difficulty swallowing within 4–5 hours after the ingestion of the dried flower. High-flow oxygen, intravenous fluids, atropine, and other supportive measures were used during the emergency, followed later by transfer to the intensive care unit for further observation.

Conclusion

The patient was discharged with complete recovery after 2 days of hospital stay. Intentional or accidental ingestion of toxic plants can be severe or even life-threatening. Thus, clinicians should be familiar with local toxic plants with grayanotoxin action.
Literature
1.
go back to reference Gunduz A, Turedi S, Russell RM, Ayaz FA. Clinical review of grayanotoxin/mad honey poisoning past and present. Clin Toxicol. 2008;46:437–42.CrossRef Gunduz A, Turedi S, Russell RM, Ayaz FA. Clinical review of grayanotoxin/mad honey poisoning past and present. Clin Toxicol. 2008;46:437–42.CrossRef
2.
go back to reference Koda R, Honma M, Suzuki K, Kasai A, Takeda T, Narita I, Yoshida K. Hypotension and bradycardia caused by the inadvertent ingestion of Rhododendron japonicum. Intern Med. 2016;55:839–42.CrossRef Koda R, Honma M, Suzuki K, Kasai A, Takeda T, Narita I, Yoshida K. Hypotension and bradycardia caused by the inadvertent ingestion of Rhododendron japonicum. Intern Med. 2016;55:839–42.CrossRef
3.
go back to reference Scott PM, Coldwell BB, Wiberg GS. Grayanotoxins. Occurrence and analysis in honey and a comparison of toxicities in mice. Food Cosmet Toxicol. 1971;9:179–84.CrossRef Scott PM, Coldwell BB, Wiberg GS. Grayanotoxins. Occurrence and analysis in honey and a comparison of toxicities in mice. Food Cosmet Toxicol. 1971;9:179–84.CrossRef
4.
go back to reference Kimura T, Kinoshita E, Yamaoka K, Yuki T, Yakehiro M, Seyama I. On-site of action of grayanotoxin in domain 4 segment 6 of rat skeletal muscle sodium channel. FEBS Lett. 2000;465:18–22.CrossRef Kimura T, Kinoshita E, Yamaoka K, Yuki T, Yakehiro M, Seyama I. On-site of action of grayanotoxin in domain 4 segment 6 of rat skeletal muscle sodium channel. FEBS Lett. 2000;465:18–22.CrossRef
5.
go back to reference Poon WT, Ho CH, Yip KL, Lai CK, Cheung KL, Sung RY, Chan AY, Mak TW. Grayanotoxin poisoning from Rhododendron simsii in an infant. Hong Kong Med J. 2008;14:405–7.PubMed Poon WT, Ho CH, Yip KL, Lai CK, Cheung KL, Sung RY, Chan AY, Mak TW. Grayanotoxin poisoning from Rhododendron simsii in an infant. Hong Kong Med J. 2008;14:405–7.PubMed
6.
go back to reference Oguzturk H, Ciftci O, Turtay MG, Yumrutepe S. Complete atrioventricular block caused by mad honey intoxication. Eur Rev Med Pharmacol Sci. 2012;16:1748–50.PubMed Oguzturk H, Ciftci O, Turtay MG, Yumrutepe S. Complete atrioventricular block caused by mad honey intoxication. Eur Rev Med Pharmacol Sci. 2012;16:1748–50.PubMed
Metadata
Title
Dried rhododendron flower ingestion presenting with bradycardia and hypotension: a case report
Authors
Sushil Baral
Binaya Kumar Baral
Pranit Sharma
Surendra Lal Shrestha
Publication date
01-12-2022
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2022
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/s13256-022-03413-8

Other articles of this Issue 1/2022

Journal of Medical Case Reports 1/2022 Go to the issue