@article{ref1,
title="Oleander poisoning: treatment with digoxin-specific Fab antibody fragments",
journal="Annals of emergency medicine",
year="1988",
author="Shumaik, G. M. and Wu, A. W. and Ping, A. C.",
volume="17",
number="7",
pages="732-735",
abstract="A 37-year-old man presented two hours after the ingestion of &quot;a handful&quot; of oleander leaves (probably Nerium oleander) in a suicide attempt. Cardiotoxicity was evidenced by the presence of bradycardia (rate, 30 to 45) with sinoatrial nodal arrest and junctional escape consistent with a cardiac glycoside effect. The patient was treated empirically with a single dose of five vials (200 mg) of digoxin-specific Fab antibody fragments (Digibind). The pretreatment digoxin level was 1.5 ng/mL. After treatment, the patient's rhythm stabilized with residual sinus bradycardia (rate, 56). The patient recovered uneventfully and was discharged on the fifth hospital day to inpatient psychiatric care.<p /><p>Language: en</p>",
language="en",
issn="0196-0644",
doi="",
url="http://dx.doi.org/"
}