Extracorporeal life support as bridge to recovery in yew poisoning: case reports and literature review
Abstract Aims This short communication aims to review the treatment of cardiogenic shock in patients with yew poisoning based on two case reports from our institution, focusing on the use of extracorporeal life support (ECLS). Methods and results We report two cases of Taxus baccata poisoning treate...
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doaj-5686d7c5f7e6489eb152cd894911262f2021-03-31T03:15:45ZengWileyESC Heart Failure2055-58222021-02-018170570910.1002/ehf2.12828Extracorporeal life support as bridge to recovery in yew poisoning: case reports and literature reviewJulia Hermes‐Laufer0Martin Meyer1Alain Rudiger2Julian Henze3Kai Enselmann4Hugo Kupferschmidt5Daniel Müller6Aline Herzog7Dominique Bettex8Dagmar I. Keller9Bernard Krüger10Judith Engeler11Institute of Intensive Care Medicine University Hospital Zurich Zurich SwitzerlandDepartment of Cardiology University Heart Center, University Hospital Zurich Zurich SwitzerlandInstitute of Anaesthesiology University Hospital Zurich Zurich SwitzerlandEmergency Department University Hospital Zurich Zurich SwitzerlandEmergency Department University Hospital Zurich Zurich SwitzerlandNational Poisons Information Centre, Tox Info Suisse Associated Institute of the University of Zurich Zurich SwitzerlandInstitute of Clinical Chemistry University Hospital Zurich Zurich SwitzerlandEmergency Department University Hospital Zurich Zurich SwitzerlandInstitute of Anaesthesiology University Hospital Zurich Zurich SwitzerlandEmergency Department University Hospital Zurich Zurich SwitzerlandInstitute of Anaesthesiology University Hospital Zurich Zurich SwitzerlandEmergency Department University Hospital Zurich Zurich SwitzerlandAbstract Aims This short communication aims to review the treatment of cardiogenic shock in patients with yew poisoning based on two case reports from our institution, focusing on the use of extracorporeal life support (ECLS). Methods and results We report two cases of Taxus baccata poisoning treated with ECLS at our institution and review the literature based on a search in PubMed and Google Scholar on the topic of yew poisoning and ECLS. All cases were combined for analysis of demographics, ECLS therapy, and outcome. Case 1: A 35‐year‐old woman developed polymorphic ventricular tachycardia followed by cardiovascular arrest 5 h after orally ingesting a handful of yew needles. Successful resuscitation required ECLS for 72 h due to ongoing cardiac arrhythmias and cardiogenic shock. The patient left the hospital without neurological sequelae after 10 days. Case 2: A 30‐year‐old woman developed refractory cardiac arrhythmias and circulatory arrest. Resuscitation included ECLS for 71 h. T. baccata needles found by gastroscopy confirmed the diagnosis. The patient had no neurologic deficits and was transferred to psychiatry after 11 days. Review of the literature: Nine case reports were found and analysed along with our two cases. Five out of the 11 (45%) patients were female. Median (range) age was 28 (19–46) years. T. baccata needles were ingested with a suicidal intention in all patients. Median (range) duration of ECLS was 70 h (24–120 h). Eight (73%) patients had full neurological recovery. Conclusions Yew poisoning is a differential diagnosis in young psychiatric patients presenting with polymorphic ventricular tachycardia and cardiogenic shock. A characteristic cardiac contraction pattern in echocardiography may present a diagnostic clue. The early use of ECLS is a valuable bridge to recovery in most of these patients.https://doi.org/10.1002/ehf2.12828ECLSYew poisoningTaxus baccataCardiogenic shockRefractory ventricular tachycardia |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Julia Hermes‐Laufer Martin Meyer Alain Rudiger Julian Henze Kai Enselmann Hugo Kupferschmidt Daniel Müller Aline Herzog Dominique Bettex Dagmar I. Keller Bernard Krüger Judith Engeler |
spellingShingle |
Julia Hermes‐Laufer Martin Meyer Alain Rudiger Julian Henze Kai Enselmann Hugo Kupferschmidt Daniel Müller Aline Herzog Dominique Bettex Dagmar I. Keller Bernard Krüger Judith Engeler Extracorporeal life support as bridge to recovery in yew poisoning: case reports and literature review ESC Heart Failure ECLS Yew poisoning Taxus baccata Cardiogenic shock Refractory ventricular tachycardia |
author_facet |
Julia Hermes‐Laufer Martin Meyer Alain Rudiger Julian Henze Kai Enselmann Hugo Kupferschmidt Daniel Müller Aline Herzog Dominique Bettex Dagmar I. Keller Bernard Krüger Judith Engeler |
author_sort |
Julia Hermes‐Laufer |
title |
Extracorporeal life support as bridge to recovery in yew poisoning: case reports and literature review |
title_short |
Extracorporeal life support as bridge to recovery in yew poisoning: case reports and literature review |
title_full |
Extracorporeal life support as bridge to recovery in yew poisoning: case reports and literature review |
title_fullStr |
Extracorporeal life support as bridge to recovery in yew poisoning: case reports and literature review |
title_full_unstemmed |
Extracorporeal life support as bridge to recovery in yew poisoning: case reports and literature review |
title_sort |
extracorporeal life support as bridge to recovery in yew poisoning: case reports and literature review |
publisher |
Wiley |
series |
ESC Heart Failure |
issn |
2055-5822 |
publishDate |
2021-02-01 |
description |
Abstract Aims This short communication aims to review the treatment of cardiogenic shock in patients with yew poisoning based on two case reports from our institution, focusing on the use of extracorporeal life support (ECLS). Methods and results We report two cases of Taxus baccata poisoning treated with ECLS at our institution and review the literature based on a search in PubMed and Google Scholar on the topic of yew poisoning and ECLS. All cases were combined for analysis of demographics, ECLS therapy, and outcome. Case 1: A 35‐year‐old woman developed polymorphic ventricular tachycardia followed by cardiovascular arrest 5 h after orally ingesting a handful of yew needles. Successful resuscitation required ECLS for 72 h due to ongoing cardiac arrhythmias and cardiogenic shock. The patient left the hospital without neurological sequelae after 10 days. Case 2: A 30‐year‐old woman developed refractory cardiac arrhythmias and circulatory arrest. Resuscitation included ECLS for 71 h. T. baccata needles found by gastroscopy confirmed the diagnosis. The patient had no neurologic deficits and was transferred to psychiatry after 11 days. Review of the literature: Nine case reports were found and analysed along with our two cases. Five out of the 11 (45%) patients were female. Median (range) age was 28 (19–46) years. T. baccata needles were ingested with a suicidal intention in all patients. Median (range) duration of ECLS was 70 h (24–120 h). Eight (73%) patients had full neurological recovery. Conclusions Yew poisoning is a differential diagnosis in young psychiatric patients presenting with polymorphic ventricular tachycardia and cardiogenic shock. A characteristic cardiac contraction pattern in echocardiography may present a diagnostic clue. The early use of ECLS is a valuable bridge to recovery in most of these patients. |
topic |
ECLS Yew poisoning Taxus baccata Cardiogenic shock Refractory ventricular tachycardia |
url |
https://doi.org/10.1002/ehf2.12828 |
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