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Rapid High-throughput Species Identification of Botanical Material Using Direct Analysis in Real Time High Resolution Mass Spectrometry
Published on: October 2, 2016
Mistaken identity: severe vomiting, bradycardia and hypotension after eating a wild herb
Kengo Maeda1, Ryo Idehara, Shingo Kusaka
1Department of Neurology, National Hospital Organization Shiga Hospital, Higashi-oumi, Shiga, Japan. maeda-kengo@shiga-hosp.jp
Abstract:
A 53-year-old woman presented with severe vomiting 3.5 hours after eating a boiled wild herb thought to be Hosta montana. She was alert, and did not complain of diplopia or numbness of her limbs. Her vital signs were temperature of 35.9°C, blood pressure of 84/33 mmHg, and heart rate of 59 beats/minute. There was no arrhythmia or conduction block on electrocardiogram. Her blood pressure and heart rate were decreased to 75/44 mmHg and 51 beats/minute at the minimum, respectively. Complete blood count and serum chemistry were normal. The herb was correctly identified when the patient's husband brought in the herb for identification.
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