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폭스글로브 섭취 후 발생한 강심 배당체 독성 1례
Digitalis (Cardiac Glycoside) Poisoning after Foxglove Ingestion Case Report
성길명 ( Gil Myeong Seong ) , 주승재 ( Seung Jae Joo ) , 김송이 ( Song Yi Kim )
UCI I410-ECN-0102-2013-510-002265843
This article is 4 pages or less.

Digoxin, also known as digitalis, is a purified cardiac glycoside extracted from the foxglove plant, Digitalis purpurea. Digoxin-mediated cardiac glycoside toxicity due to accidental plant ingestion can occur. Presently, a 69-year-old woman visited our emergency department with epigastric pain, nausea and vomiting after ingestion of a plant. Physical examination and initial laboratory blood test results were within normal limits. An electrocardiogram (ECG) showed sinus bradycardia with first degree AV block and diffuse ST-segment depressions in a "scooping" pattern. The plant was identified as D. purpurea, and the patient`s serum digoxin level was 2.89 ng/mL. The patient was treated conservatively in the absence of any life-threatening event. Recovery was uneventful.

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