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Case Report

A Coffin Tragedy Justicia Adhatoda Toxicity: A Case Report

Harshit Mundra, Mahasweta Choudhury

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Indian Journal of Emergency Medicine 8(4):p 143-146, October-December 2022. | DOI: https://doi.org/10.21088/ijem.2395.311X.8422.6

How Cite This Article:

Mahasweta Choudhury, Harshit Mundra/A Coffin Tragedy Justicia Adhatoda Toxicity: A Case Report/Indian J Emerg Med 2022;8(4):143–146.

Timeline

Received : August 09, 2022         Accepted : September 03, 2022          Published : December 25, 2022

Abstract

Many herbal medications are commonly being used as therapeutic remedies for common ailments and are being sold over the counter. Plants contain many active ingredients that can provoke adverse reactions when medicinal herbs are used improperly. The side effects of many medicinal herbs are not widely known and studied. Here we present a case of two brothers, 32 yrs old patient X and 27 yrs old patient Y, with no known comorbidities, who presented to the ED with history of consumption of Homeopathic cough syrup following which they developed multiple episodes of vomiting, associated with giddiness, restlessness and vague discomfort. On enquiry the content of the medication was found to be Rhustox and Justicia adhatoda. On presentation, both the patients were drowsy with unrecordable blood pressure. ECG of patient X showed Ventricular Tachycardia. Multiple attempts of electrical cardio version was attempted but unsuccessful, followed by Amiodarone infusion followed by Transvenous pacing but over drive pacing could not be achieved. Subsequently, in view of Intractable VT patient was initiated on Inj Lignocaine infusion which was continued for 6 hours. VT was reverted over a period of next 4 – 6 hours. ECG of patient Y showed Sinus Tachycardia with recurrent VPCs. He was managed conservatively with rate control methods. Holter study was done for both the patients which was found to be normal. Both of them were discharged in haemo dynamically stable condition on day 3.


References

  • 1.   Under estimating the Toxicological Challenges Associated with the Use of Herbal Medicinal Products in Developing Countries, Department of Health Sciences, Faculty of Science and ANDI Centre of Excellence for Biomedical and Biomaterials Research, University of Mauritius, Reduit, Mauritius.
  • 2.   Homeopathy (2013)102, 248-253;http;//dx.doi.org/10.1016/j.hormp.2013.07.001, http;/www.sciencedirect.com.
  • 3.   A review on Justicia adhatoda: A potential source of natural medicine, http://w w w . c a b d i r e c t . o r g / g l o b a l h e a l t h /abstract/20123157088.
  • 4.   M. M. Rao, A. K. Meena, and G. Galib, “Detection of toxic heavy metals and pesticideresi due in herbal plants which are commonly used in the herbal formulations,” Environmental Monitoring and Assessment, vol. 181,no. 1–4, pp. 267–271, 2011.
  • 5.   P.A. Cohen and E. Ernst, “:a guide for cardiologists,” Cardiovascular Therapeutics, vol.28, no. 4, pp. 246–253, 2010.
  • 6.   Department of Medicine/Preventive Cardiology, University College of Medical Sciences, University of Delhi and GTB Hospital, Delhi, India110095, tropical doctor 2011; 41:113–115DOI:10.1258/td.2010.100304.

Data Sharing Statement

There are no additional data available. All raw data and code are available upon request.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.

Conflicts of Interest

No conflicts of interest in this work.


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Cite this article

Mahasweta Choudhury, Harshit Mundra/A Coffin Tragedy Justicia Adhatoda Toxicity: A Case Report/Indian J Emerg Med 2022;8(4):143–146.


Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Received Accepted Published
August 09, 2022 September 03, 2022 December 25, 2022

DOI: https://doi.org/10.21088/ijem.2395.311X.8422.6

Keywords

CoffinTragedyJusticiaAdhatodaToxicity

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Received August 09, 2022
Accepted September 03, 2022
Published December 25, 2022

licence


Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


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