TY - JOUR PY - 2010// TI - A Case of Aconitum Intoxication After Ingestion of a Large Amount of Aconitine Decoction in a Suicide Attempt JO - Journal of the Korean Society of Emergency Medicine A1 - Kim, Yoon-Sung A1 - Cho, Jun-Hwi A1 - Park, Chan-Woo A1 - Lee, Hui-Young A1 - Lee, Bong-Ki A1 - Kim, Hak-Jae A1 - Park, Sang-Min A1 - Ahn, Mi-Young SP - 720 EP - 723 VL - IS - N2 - Aconitine has been used as a folk remedy for centuries to treat pain and as an inotropic agent. However, because its therapeutic range is very narrow, it often causes many side effects when not controlled carefully. These include nausea, vomiting, paresthesia, cardiac arrhythmia and hypotension. Most of the aconitine intoxication cases have been attributed to accidental overdose of aconitine-containing medicines. In this case, a 53-year-old woman attempted suicide by intentionally overdosing herself with an aconitine decoction. She suffered paresthesia in both arms and showed junctional rhythm on an electrocardiogram at admission. Here we report that early gastric lavage and other symptomatic therapies were helpful for treating aconitine intoxication. Similar to intoxication with other drugs, these supportive measures can prevent the patient's hospitalization.
Language: ko
LA - ko SN - 1226-4334 UR - http://dx.doi.org/ ID - ref1 ER -