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{
    "pk": 547,
    "title": "Fatality Following Intentional Ingestion of Cerbera odollam Seeds",
    "subtitle": null,
    "abstract": "Seeds from the mangrove plant Cerbera odollam, known as the “suicide tree,” are responsible for a significant number of plant deaths worldwide but are not well recognized in Western medicine. Cerberin is a cardiac glycoside concentrated in the plant’s seeds, which causes disrupted cardiac electrical activity leading to fatal dysrhythmias. We present a fatal case of intentional C. odollam seed ingestion. The patient experienced high-degree heart block and cardiac arrest despite supportive treatment and digoxin immune fab administration. Clinicians should be aware of the potential morbidity and mortality associated with C. odollam poisoning and be prepared for resuscitative interventions.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/1gz3g513",
    "frozenauthors": [
        {
            "first_name": "Ryan",
            "middle_name": "",
            "last_name": "Misek",
            "name_suffix": "",
            "institution": "Midwestern University, Chicago College of Osteopathic Medicine, Department of\nEmergency Medicine, Downers Grove, Illinois",
            "department": "None"
        },
        {
            "first_name": "Glenn",
            "middle_name": "",
            "last_name": "Allen",
            "name_suffix": "",
            "institution": "Franciscan Health Hammond, Emergency Department Pharmacy, Hammond, Indiana",
            "department": "None"
        },
        {
            "first_name": "Valerie",
            "middle_name": "",
            "last_name": "LeComte",
            "name_suffix": "",
            "institution": "Midwestern University, Chicago College of Osteopathic Medicine, Department of\nEmergency Medicine, Downers Grove, Illinois",
            "department": "None"
        },
        {
            "first_name": "Nicholas",
            "middle_name": "",
            "last_name": "Mazur",
            "name_suffix": "",
            "institution": "Franciscan Health Hammond, Emergency Department Pharmacy, Hammond, Indiana",
            "department": "None"
        }
    ],
    "date_submitted": "2018-05-29T19:25:22+01:00",
    "date_accepted": "2018-05-29T19:25:22+01:00",
    "date_published": "2018-06-12T18:03:29+01:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/547/galley/310/download/"
        }
    ]
}