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Treatment of Foxglove Extract Poisoning with Digoxin-specific Fab Fragments by Steven A Rich; Joyce M Libera; Robert J Locke is a Medicine article available to read on EtoBox.

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A 22-year-old man presented to our emergency department after an intentional overdose of a homemade foxglove extract. Clinical symptoms with symptomatic bradyarrhythmia and EOG changes were consistent with cardiac glycoside poisoning. Treatment with digexin-specific Fab fragments resulted in transient clinical and ECG improvement. Serum immunoassay demonstrated a digitoxin-like glycoside. The serum levels showed no evidence of altered elimination or distribution with Fab therapy despite temporary improvements in the clinical course. The use of Fab did not result in a shortened clinical course in this episode of foxglove poisoning, as one would expect in the setting of commercial glycoside product poisoning.

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Author

Steven A Rich; Joyce M Libera; Robert J Locke

Publisher

Elsevier Science; Elsevier ; Mosby Inc.; Elsevier BV (ISSN 1097-6760)

Published

1993

Language

EN

Field

Medicine (Health Sciences)