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Logo of bmjcrInstructions for authorsCurrent ToCBMJ Case Reports
 
BMJ Case Rep. 2010; 2010: bcr0120102633.
Published online Oct 21, 2010. doi:  10.1136/bcr.01.2010.2633
PMCID: PMC3028134
Other full case
Bitter pill to swallow: a case of accidental poisoning with digitalis purpurea
Andrew Mitchell
ST1 Core Medical Training, Wishaw General Hospital, Lanarkshire, Scotland
Correspondence to Andrew Mitchell, andrewjmitchell/at/doctors.org.uk
Abstract
While digitoxicity secondary to therapeutic use is frequent, due to its distinctive appearance and unpleasant taste accidental ingestion of digitalis purpurea (foxglove) is uncommon. This report relates the case of two previously healthy individuals who inadvertently consumed significant quantities of digitalis in its plant form. Both men presented in first-degree atrioventricular block and had digoxin levels of 4.9 μg/litre, but were otherwise stable and made unremarkable recoveries with repeated dose activated charcoal.
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