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BMJ Case Rep. 2010; 2010: bcr02.2009.1573.
Published online 2010 February 11. doi:  10.1136/bcr.02.2009.1573
PMCID: PMC3027391
Findings that shed new light on the possible pathogenesis of a disease or an adverse effect

A case of non-fatal oleander poisoning


We present a case of non-fatal poisoning with oleander blooms in a 42-year-old woman. After repeated vomiting and gastrointestinal distress, the patient was admitted to the hospital with cardiac symptoms 4 h after the ingestion. Urine and blood samples were assayed for drugs of abuse and for general toxicological screen. Blood was analysed for alcohol and volatiles. Oleandrin was detected in the blood sample at a concentration of 14.7 ng/ml. Following a review of the literature, this is the first case of oleander poisoning in which the patient recovered with only conservative treatment. Oleander poisonings occur rarely, and generally result in death.

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