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Respiratory failure in a neonate after folk treatment with broom bush (Retama raetam) extract
Tal Schmid1, Dan Turner, Menachem Oberbaum
1Department of Pediatrics, Shaare-Zedek Medical Center, Jerusalem, Israel. tal_schmid@hotmail.com
Insights
A neonate experienced severe respiratory and central nervous system depression due to folk herbal remedy intoxication. This case highlights the potential dangers of these remedies in pediatric populations and the need for greater awareness.
Area of Science:
- Pediatric Toxicology
- Herbal Medicine Safety
- Neonatal Intensive Care
Background:
- Folk herbal remedies are widely used, but their safety, especially in neonates, is often unverified.
- Intoxication from herbal products can present with severe clinical manifestations in infants.
- Limited data exists on the adverse effects of specific folk remedies in the pediatric population.
Observation:
- A 7-day-old infant presented with respiratory failure and central nervous system depression.
- Parental disclosure revealed the neonate had consumed a folk herbal remedy.
- The infant required mechanical ventilation for 24 hours due to the severity of symptoms.
Findings:
- Folk herbal remedy consumption can lead to critical illness in neonates.
- Symptoms included respiratory compromise and neurological impairment.
- Prompt medical intervention, including mechanical ventilation, was necessary for recovery.
Implications:
- Healthcare providers should consider herbal remedy intoxication in neonates presenting with unexplained symptoms.
- Educating parents about the potential risks of herbal remedies in infants is crucial.
- Developing accessible databases for herbal and folk medicine can aid in managing adverse effects and improving patient outcomes.
Objectives:
To increase the awareness of intoxication by folk herbal remedies in the pediatric population.
Methods:
Case report of a 7-day-old baby boy admitted to a pediatric intensive care unit in a university-affiliated hospital.
Results:
The patient presented with respiratory failure and central nervous system depression. Specific questioning of the parents revealed consumption of folk herbal remedy by the neonate. Mechanical ventilation was used for 24 hours until normal activity level resumed.
Conclusions:
The possibility of intoxication in a neonate should not be overlooked. Folk herbal remedies, especially if taken in larger than recommended amounts, may be hazardous. Accessible herbal and folk medicine data bank will contribute to a better treatment of patients having side effects of these remedies.
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