Successful treatment of oleander intoxication (cardiac glycosides) with digoxin-specific Fab antibody fragments in a 7-year-old child

Case report and review of literature

C. Camphausen*, N. A. Haas, A. C. Mattke

*Corresponding author for this work

Research output: Contribution to journalReview article

25 Citations (Scopus)

Abstract

A 7-year-old girl presented six hours after ingestion of a yellow oleander seed (Thevetia peruviana) with severe emesis, change in colour vision and complete heart block. Initial treatment with phenytoin and isoprenalin infusion led to intermittent supraventricular and ventricular tachycardia. The patient was then treated with two intravenous doses of 190 mg of digoxin-specific Fab antibody fragments (Digibind®). Subsequently the patient's rhythm reverted to sinus rhythm and the symptoms resolved within 2 hours. Conclusion: administration of digoxin-specific Fab antibody fragments in an otherwise healthy child after oleander intoxication is safe and without adverse reactions.

Original languageEnglish
Pages (from-to)817-823
Number of pages7
JournalZeitschrift fur Kardiologie
Volume94
Issue number12
DOIs
Publication statusPublished - Dec 2005
Externally publishedYes

Keywords

  • Cardiac glycosides
  • Child
  • Digoxin-specific Fab antibody fragments
  • Intoxication
  • Oleander

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