Arushi Verma, Vikas Vaibhav, Raviprakash Meshram, Ashish Bhute, Dilip Vaishnav, Ravi H Phulware
{"title":"<i>Thevetia peruviana</i> or Yellow Oleander (Apocynaceae) Poisoning with Myocardial Bridging: An Autopsy-Based Case Report.","authors":"Arushi Verma, Vikas Vaibhav, Raviprakash Meshram, Ashish Bhute, Dilip Vaishnav, Ravi H Phulware","doi":"10.1177/10806032251320372","DOIUrl":null,"url":null,"abstract":"<p><p>Autopsy surgeons routinely encounter cases involving alleged use of poison. Many of these cases are due to poisonous plant species that grow wildly in different regions of the world and are readily accessible to the general population. <i>Thevetia peruviana</i> (syn. <i>Cascabela thevetia</i>) is a cardiotoxic evergreen shrub that is native to Latin America and has been introduced horticulturally to other global tropical and subtropical regions with subsequent establishment among the native flora. The cardiac glycosides found in the plant have digoxin-like effects. A 50-y-old male with an alleged history of accidental ingestion of <i>T peruviana</i> was brought for autopsy to the mortuary at the Department of Forensic Medicine and Toxicology. This case report highlights the postmortem findings in a case of <i>T peruviana</i> poisoning. It provides valuable insights for autopsy surgeons, ensuring their preparedness when confronted with similar cases.</p>","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032251320372"},"PeriodicalIF":1.4000,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Wilderness & Environmental Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10806032251320372","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
Autopsy surgeons routinely encounter cases involving alleged use of poison. Many of these cases are due to poisonous plant species that grow wildly in different regions of the world and are readily accessible to the general population. Thevetia peruviana (syn. Cascabela thevetia) is a cardiotoxic evergreen shrub that is native to Latin America and has been introduced horticulturally to other global tropical and subtropical regions with subsequent establishment among the native flora. The cardiac glycosides found in the plant have digoxin-like effects. A 50-y-old male with an alleged history of accidental ingestion of T peruviana was brought for autopsy to the mortuary at the Department of Forensic Medicine and Toxicology. This case report highlights the postmortem findings in a case of T peruviana poisoning. It provides valuable insights for autopsy surgeons, ensuring their preparedness when confronted with similar cases.
期刊介绍:
Wilderness & Environmental Medicine, the official journal of the Wilderness Medical Society, is the leading journal for physicians practicing medicine in austere environments. This quarterly journal features articles on all aspects of wilderness medicine, including high altitude and climbing, cold- and heat-related phenomena, natural environmental disasters, immersion and near-drowning, diving, and barotrauma, hazardous plants/animals/insects/marine animals, animal attacks, search and rescue, ethical and legal issues, aeromedial transport, survival physiology, medicine in remote environments, travel medicine, operational medicine, and wilderness trauma management. It presents original research and clinical reports from scientists and practitioners around the globe. WEM invites submissions from authors who want to take advantage of our established publication''s unique scope, wide readership, and international recognition in the field of wilderness medicine. Its readership is a diverse group of medical and outdoor professionals who choose WEM as their primary wilderness medical resource.