{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T12:40:02Z","timestamp":1755866402925,"version":"3.44.0"},"reference-count":8,"publisher":"SMC Media","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background: Hyperkalaemia in oleander (Nerium oleander) poisoning has been associated with a poor prognosis. Different electrocardiographic (ECG) presentations are possible because of vagotonia and hyperkalaemia. Methods\/Results: We report a series of three cases of oleander poisoning in which ECG showed unusual hyperkalaemia features, such as bradyarrhythmia, sinoatrial block, atrioventricular block and junctional rhythm. Conclusions: If arterial blood gas analysis or laboratory values indicate hyperkalaemia in oleander poisoning, the hyperkalaemia should be treated immediately, even if the ECG does not show typical hyperkalaemia features.<\/jats:p>","DOI":"10.12890\/2021_003044","type":"journal-article","created":{"date-parts":[[2021,12,14]],"date-time":"2021-12-14T03:39:00Z","timestamp":1639453140000},"source":"Crossref","is-referenced-by-count":2,"title":["Severe Oleander Poisoning Presenting with Hyperkalaemia and Unusual Electrocardiographic Changes"],"prefix":"10.12890","volume":"8","author":[{"given":"Satyabrata","family":"Guru","sequence":"additional","affiliation":[{"name":"All India Insititute of Medica Sciences, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anupama Behera","family":"Anupama Behera","sequence":"additional","affiliation":[{"name":"All India Insititute of Medica Sciences, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sadananda Barik","family":"Sadananda Barik","sequence":"additional","affiliation":[{"name":"All India Insititute of Medica Sciences, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Upendra Hansdah","family":"Upendra Hansdah","sequence":"additional","affiliation":[{"name":"All India Insititute of Medica Sciences, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chitta R","family":"Mohanty","sequence":"additional","affiliation":[{"name":"All India Insititute of Medica Sciences, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sangeeta Sahoo","family":"Sangeeta Sahoo","sequence":"additional","affiliation":[{"name":"All India Insititute of Medica Sciences, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10397","published-online":{"date-parts":[[2021,12,14]]},"reference":[{"key":"10.12890\/2021_003044_ref1","doi-asserted-by":"crossref","unstructured":"<li>Behcet Al, Yarbil P, Dogan M, Kabul S, Yildirm C. A case of non-fatal oleander poisoning. <em>BMJ Case Rep<\/em> 2010;<strong>2010<\/strong>:bcr02.2009.1573.<\/li>","DOI":"10.1136\/bcr.02.2009.1573"},{"key":"10.12890\/2021_003044_ref2","doi-asserted-by":"crossref","unstructured":"<li>Ansford AJ, Morris H. Fatal oleander poisoning. <em>Med J Aust<\/em> 1981;<strong>1<\/strong>:360\u20131.<\/li>","DOI":"10.5694\/j.1326-5377.1981.tb135633.x"},{"key":"10.12890\/2021_003044_ref3","doi-asserted-by":"crossref","unstructured":"<li>Alexandre J, Foucalt A, Coutance G, Scanu P, Milliez P. Digitalis intoxication induced by an acute accidental poisoning by lily of the valley. <em>Circulation<\/em> 2012;<strong>125<\/strong>(8):1053\u20131055. doi: 10.1161\/CIRCULATIONAHA.111.044628. <\/li>","DOI":"10.1161\/CIRCULATIONAHA.111.044628"},{"key":"10.12890\/2021_003044_ref4","doi-asserted-by":"crossref","unstructured":"<li>Aslam S, Friedman EA, Ifudu O. Electrocardiography is unreliable in detecting potentially lethal hyperkalemia in hemodialysis patients. <em>Nephrol Dial Transplant<\/em> 2002;<strong>17<\/strong>:1639\u20131642. <\/li>","DOI":"10.1093\/ndt\/17.9.1639"},{"key":"10.12890\/2021_003044_ref5","doi-asserted-by":"crossref","unstructured":"<li>Martinez-Vea A, Bardaji A, Garcia C, Oliver JA. Severe hyperkalemia with minimal electrocardiographic manifestations. A report of seven cases. <em>J Electrocardiol<\/em> 1999;<strong>32<\/strong>:45\u201349. <\/li>","DOI":"10.1016\/S0022-0736(99)90020-1"},{"key":"10.12890\/2021_003044_ref6","doi-asserted-by":"crossref","unstructured":"<li>Shumaik GM, Wu AW, Ping AC. Oleander poisoning: treatment with digoxin-specific Fab antibody fragments. <em>Ann Emerg Med<\/em> 1988;<strong>17<\/strong>:732\u2013735.<\/li>","DOI":"10.1016\/S0196-0644(88)80625-5"},{"key":"10.12890\/2021_003044_ref7","doi-asserted-by":"crossref","unstructured":"<li>Wrenn KD, Slovis CM, Slovis BS. The ability of physicians to predict hyperkalemia from the ECG. <em>Ann Emerg Med<\/em>1991;<strong>20<\/strong>:1229\u20131232. <\/li>","DOI":"10.1016\/S0196-0644(05)81476-3"},{"key":"10.12890\/2021_003044_ref8","unstructured":"<\/li>"}],"container-title":["European Journal of Case Reports in Internal Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/3044\/2927","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/3044\/2930","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/3044\/2927","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T12:13:16Z","timestamp":1755864796000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/view\/3044"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,14]]},"references-count":8,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.12890\/2021_003044","relation":{"has-manifestation":[{"id-type":"other","id":"1-80-3044-g2927","asserted-by":"subject"},{"id-type":"other","id":"1-80-3044-g2930","asserted-by":"subject"}],"is-part-of":[{"id-type":"other","id":"1-80","asserted-by":"subject"}]},"ISSN":["2284-2594"],"issn-type":[{"type":"electronic","value":"2284-2594"}],"subject":[],"published":{"date-parts":[[2021,12,14]]},"article-number":"9"}}