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. 2018 Sep;29(3):411-416.
doi: 10.1016/j.wem.2018.05.001. Epub 2018 Jul 4.

Recurrent Ventricular Arrhythmia Caused by Ingestion of Aconitum (Monkshood) Flowers

Francesco Adami  1 , Peter Paganussi  2 , Giovanna Perone  3 , Paola Bera  3 , Giosuè Braga  4 , Carlo Concoreggi  5
Affiliations

Recurrent Ventricular Arrhythmia Caused by Ingestion of Aconitum (Monkshood) Flowers

Francesco Adami et al. Wilderness Environ Med. 2018 Sep.

Abstract

We report the case of a patient who presented with respiratory failure, recurrent ventricular fibrillation, ventricular arrhythmias, and hypotension after an intentional ingestion of aconite flowers. Significant ingestion of this plant can produce life-threatening cardio- and neurotoxicity that may require evacuation from the wilderness to a medical facility capable of advanced treatment and intensive care monitoring.

Keywords: aconite; aconitine; cardiotoxins; neurotoxins; ventricular arrhythmias; wolfsbane.

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