Abstract

A CASE SERIES REVIEW ON CERBERA ODOLLAM POISONING

Dr. Linsa Ann Saji*

Abstract

Cerbera odollam, popularly known as the suicide tree, is well-known for its cardiotoxic properties. Three odollam poisoning cases were investigated. Cerberin's mode of action is similar to that of digoxin, hence Cerbera odollam intoxication looks like acute digoxin overdose. Its kernel causes nausea, vomiting, hyperkalemia, thrombocytopenia, and ECG irregularities when consumed. All were presented with similar complaints of vomiting and bradycardia. ECG demonstrated a second degree heart block in 2 cases and a third degree heart block in one patient. Among the 3 cases we discussed, two patients were given Digibind out of which one expired and the other survived. Remaining one patient was managed with a temporary pacemaker insertion. Atropine was given in view of persistent bradycardia and was treated with glucose, insulin, sodium bicarbonate, calcium gluconate and levosalbutamol for hyperkalemia.

Keywords: Cerbera odollam, Mortality, poisoning, Temporary pacemaker.