TY  - JOUR
PY  - 2021//
TI  - Severe oleander poisoning presenting with hyperkalaemia and unusual electrocardiographic changes
JO  - European journal of case reports in internal medicine
A1  - Guru, Satyabrata
A1  - Behera, Anupama
A1  - Barik, Sadananda
A1  - Hansdah, Upendra
A1  - Mohanty, Chitta R.
A1  - Sahoo, Sangeeta
SP  - e003044
EP  - e003044
VL  - 8
IS  - 12
N2  - 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>
LA  - en
SN  - 2284-2594
UR  - http://dx.doi.org/10.12890/2021_003044
ID  - ref1
ER  -