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World J Clin Cases. 2020 Jan 26;8(2):479-486. doi: 10.12998/wjcc.v8.i2.479.

Multiple organ dysfunction and rhabdomyolysis associated with moonwort poisoning: Report of four cases.

World journal of clinical cases

Fang Li, An-Bao Chen, Yong-Chun Duan, Rui Liao, Yu-Wei Xu, Li-Li Tao

Affiliations

  1. Department of Emergency Medicine, The Second Affiliated Hospital of Kunming Medical University, Kunming 650101, Yunnan Province, China.
  2. Department of Emergency Medicine, The Second Affiliated Hospital of Kunming Medical University, Kunming 650101, Yunnan Province, China. [email protected].

PMID: 32047801 PMCID: PMC7000952 DOI: 10.12998/wjcc.v8.i2.479

Abstract

BACKGROUND: Moonwort is a widely used Chinese herbal medicine. It has various pharmacological effects, such as relieving cough and preventing asthma. To date, multiple organ dysfunction and rhabdomyolysis caused by moonwort poisoning have not been reported.

CASE SUMMARY: Here we report four cases of moonwort poisoning that presented with multiple organ dysfunction and rhabdomyolysis accompanied by vomiting, fatigue, and muscle aches. One patient was an adult male, two were adult females, and one was a boy, with an age range of 7-64 years. The adults were treated with hemoperfusion and symptomatic therapies, while the child was treated with plasma exchange and symptomatic therapies. All four patients recovered.

CONCLUSION: Blood purification combined with symptomatic treatment may be an effective method for managing multiple organ dysfunction and rhabdomyolysis caused by acute moonwort poisoning.

©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.

Keywords: Case report; Hemoperfusion; Moonwort poisoning; Multiple organ dysfunction; Plasma exchange; Rhabdomyolysis

Conflict of interest statement

Conflict-of-interest statement: The authors declare that they have no conflict of interest.

References

  1. Eur J Nutr. 2019 Dec;58(8):3335-3347 - PubMed
  2. J Clin Apher. 2010;25(3):83-177 - PubMed
  3. Eur J Intern Med. 2007 Mar;18(2):90-100 - PubMed
  4. Chest. 2013 Sep;144(3):1058-1065 - PubMed
  5. PLoS One. 2012;7(10):e48397 - PubMed
  6. Eur J Intern Med. 2008 Dec;19(8):568-74 - PubMed
  7. Intensive Care Med Exp. 2016 Dec;4(1):29 - PubMed
  8. Asia Pac J Clin Nutr. 2011;20(2):301-8 - PubMed
  9. Am J Bot. 2017 Nov;104(11):1675-1679 - PubMed
  10. Clin Biochem. 2017 Aug;50(12):656-662 - PubMed
  11. J Ethnopharmacol. 2013 Oct 7;149(3):701-6 - PubMed
  12. Crit Care Med. 2018 Jan;46(1):100-107 - PubMed
  13. Crit Care. 2016 Jun 15;20(1):135 - PubMed
  14. J Exerc Rehabil. 2018 Oct 31;14(5):802-809 - PubMed
  15. Cell Physiol Biochem. 2018;51(1):201-216 - PubMed
  16. Food Chem Toxicol. 2017 Oct;108(Pt B):458-466 - PubMed
  17. Ochsner J. 2015 Spring;15(1):58-69 - PubMed
  18. World J Crit Care Med. 2014 Feb 04;3(1):1-7 - PubMed

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