Heart Block Initiated by Candlenut Ingestion
The candlenut tree is a tropical plant that has a vast number of uses which include fertilizer, dye, ink for tattooing, and fuel. The inner seed of the nut is the most utilized portion of the plant and is often sold as a food additive, natural laxative, or a weight loss supplement. Unfortunately, th...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2022/3679968 |
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| author | Osayi Lawani Mark Winter |
| author_facet | Osayi Lawani Mark Winter |
| author_sort | Osayi Lawani |
| collection | DOAJ |
| description | The candlenut tree is a tropical plant that has a vast number of uses which include fertilizer, dye, ink for tattooing, and fuel. The inner seed of the nut is the most utilized portion of the plant and is often sold as a food additive, natural laxative, or a weight loss supplement. Unfortunately, the seed itself is very toxic when consumed whole and in its raw state. Typical symptoms of toxicity include abdominal pain, vomiting, and diarrhea. Rarely, it can cause cardiac dysrhythmias, most commonly bradycardia and atrioventricular heart block. We present a case of a young adult female with no significant past medical history who developed typical symptoms of toxicity, as well as atrioventricular heart block following ingestion of a candlenut. Most documented cases describe complete resolution of gastrointestinal and cardiac symptoms about one week following ingestion; however, treatment while inpatient can consist of inotropes or vasopressor support, intravenous fluid hydration, electrolyte replacement, and antiemetics. Although the mechanism of action remains unclear, this report provides physicians with an understanding of the risks of ingestion and the knowledge of typical management of the toxic effects of the candlenut. |
| format | Article |
| id | doaj-art-7d2bf1a89c8e4b04886fee677f2ba5c6 |
| institution | Kabale University |
| issn | 2090-6412 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-7d2bf1a89c8e4b04886fee677f2ba5c62025-08-20T03:35:29ZengWileyCase Reports in Cardiology2090-64122022-01-01202210.1155/2022/3679968Heart Block Initiated by Candlenut IngestionOsayi Lawani0Mark Winter1University of Houston College of Medicine/HCA Houston HealthcareSoutheast Texas Poison CenterThe candlenut tree is a tropical plant that has a vast number of uses which include fertilizer, dye, ink for tattooing, and fuel. The inner seed of the nut is the most utilized portion of the plant and is often sold as a food additive, natural laxative, or a weight loss supplement. Unfortunately, the seed itself is very toxic when consumed whole and in its raw state. Typical symptoms of toxicity include abdominal pain, vomiting, and diarrhea. Rarely, it can cause cardiac dysrhythmias, most commonly bradycardia and atrioventricular heart block. We present a case of a young adult female with no significant past medical history who developed typical symptoms of toxicity, as well as atrioventricular heart block following ingestion of a candlenut. Most documented cases describe complete resolution of gastrointestinal and cardiac symptoms about one week following ingestion; however, treatment while inpatient can consist of inotropes or vasopressor support, intravenous fluid hydration, electrolyte replacement, and antiemetics. Although the mechanism of action remains unclear, this report provides physicians with an understanding of the risks of ingestion and the knowledge of typical management of the toxic effects of the candlenut.http://dx.doi.org/10.1155/2022/3679968 |
| spellingShingle | Osayi Lawani Mark Winter Heart Block Initiated by Candlenut Ingestion Case Reports in Cardiology |
| title | Heart Block Initiated by Candlenut Ingestion |
| title_full | Heart Block Initiated by Candlenut Ingestion |
| title_fullStr | Heart Block Initiated by Candlenut Ingestion |
| title_full_unstemmed | Heart Block Initiated by Candlenut Ingestion |
| title_short | Heart Block Initiated by Candlenut Ingestion |
| title_sort | heart block initiated by candlenut ingestion |
| url | http://dx.doi.org/10.1155/2022/3679968 |
| work_keys_str_mv | AT osayilawani heartblockinitiatedbycandlenutingestion AT markwinter heartblockinitiatedbycandlenutingestion |