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

• 作者: An-Bao Chen Fang Li Li-Li Tao Rui Liao Yong-Chun Duan Yu-Wei Xu
• 来源期刊: 世界临床病例杂志
• 学科: 医学
• 关键词: Moonwort POISONING Multiple ORGAN DYSFUNCTION RHABDOMYOLYSIS HEMOPERFUSION Plasma exchange Case REPORT
• 年，卷（期）: 2020,（2）
• 页码范围: 479-486
• 页数: 8页
• 分类号: R57

摘要

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.