{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T03:26:36Z","timestamp":1788837996783,"version":"build-2803163510"},"reference-count":6,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>We report the case of a 65-year-old woman presenting with recurrent vomiting for 3\u2005days. She had been previously diagnosed with an atrial septal defect and was on treatment with diuretics and digoxin for paroxysmal supraventricular tachycardia. The clinical examination was consistent with an atrial septal defect with severe pulmonary hypertension. Electrocardiography showed complete heart block with ST-segment changes suggestive of digitalis toxicity. Transthoracic echocardiography confirmed Eisenmengerisation. Serum digoxin levels were elevated. Following hospitalisation, she was diagnosed with photophobia when she persistently asked for ambient lighting to be switched off. Most interestingly, the patient kept reporting seeing little yellow men, which was how she perceived the attending doctors. Cessation of digoxin therapy led to progressive abatement of her symptoms.<\/jats:p>","DOI":"10.1136\/bcr-2013-200339","type":"journal-article","created":{"date-parts":[[2013,8,14]],"date-time":"2013-08-14T09:09:23Z","timestamp":1376471363000},"page":"bcr2013200339","source":"Crossref","is-referenced-by-count":2,"title":["Of little yellow men and a fear of the light"],"prefix":"10.1136","volume":"2013","author":[{"given":"Kushal","family":"Naha","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"Vivek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ranjan K","family":"Shetty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barkur Ananthakrishna","family":"Shastry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2013,8,13]]},"reference":[{"key":"2025042709025527000_2013.aug13_2.bcr2013200339.1","first-page":"9","article-title":"Heart and metabolism, mechanisms, manifestations, and management of digoxin toxicity","volume":"2013","author":"Lelievre","year":"2007","journal-title":"Heart Metab"},{"key":"2025042709025527000_2013.aug13_2.bcr2013200339.2","first-page":"275","article-title":"Digoxin toxicity. Recognizing the varied visual presentations","volume":"2013","author":"Piltz","year":"1993","journal-title":"J Clin Neuroophthalmol"},{"key":"2025042709025527000_2013.aug13_2.bcr2013200339.3","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1001\/archneur.1983.04050060086017","article-title":"Visual hallucinations as the earliest symptom of digoxin intoxication","volume":"2013","author":"Closson","year":"1983","journal-title":"Arch Neurol"},{"key":"2025042709025527000_2013.aug13_2.bcr2013200339.4","first-page":"24","article-title":"[Two cases of digitalis toxicity with reversible and severe decrease of visual acuity]","volume":"2013","author":"Nagai","year":"2001","journal-title":"Nihon Ganka Gakkai Zasshi"},{"key":"2025042709025527000_2013.aug13_2.bcr2013200339.5","doi-asserted-by":"crossref","unstructured":"Kolev KK . Digoxin-\u2018a friend or foe\u2019. BMJ Case Rep. Published online: 24 Sept 2012. doi: 10.1136\/bcr.01.2012.5582.","DOI":"10.1136\/bcr.01.2012.5582"},{"key":"2025042709025527000_2013.aug13_2.bcr2013200339.6","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1136\/pgmj.69.811.337","article-title":"Diagnosis and treatment of digoxin toxicity","volume":"2013","author":"Lip","year":"1993","journal-title":"Postgrad Med J"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-200339","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T16:03:04Z","timestamp":1745769784000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-200339"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,8,13]]},"references-count":6,"alternative-id":["10.1136\/bcr-2013-200339"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-200339","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,8,13]]}}}