@article{ref1,
title="Severe oleander poisoning presenting with hyperkalaemia and unusual electrocardiographic changes",
journal="European journal of case reports in internal medicine",
year="2021",
author="Guru, Satyabrata and Behera, Anupama and Barik, Sadananda and Hansdah, Upendra and Mohanty, Chitta R. and Sahoo, Sangeeta",
volume="8",
number="12",
pages="e003044-e003044",
abstract="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. <br><br>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. <br><br>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. LEARNING POINTS: Hyperkalaemia in oleander poisoning is associated with a poor prognosis.Hyperkalaemia should be treated aggressively in oleander poisoning even if the ECG does not show typical features, as mimics other conditions on ECG.<p /> <p>Language: en</p>",
language="en",
issn="2284-2594",
doi="10.12890/2021_003044",
url="http://dx.doi.org/10.12890/2021_003044"
}