PeaceA 78-year-old man, who picks the leaves of Du Mai to boil water to treat constipation, a few days later has yellow skin, yellow eyes, red urine, fatigue.
His family took him to Hoa Binh Provincial General Hospital for emergency treatment with high fever, lethargy, respiratory failure, low blood pressure, blue skin, no urine. Test results showed severe anemia, acute liver failure, acute kidney damage, electrolyte disturbances,…
After the initial emergency, the patient was intensively treated with vasopressors to maintain blood pressure with mechanical ventilation, dialysis and plasma exchange to support failing organs. The patient also had to transfuse a large volume of blood and blood products due to his very serious condition.
Currently, the patient is out of danger but is still receiving treatment and intensive care.
Doctor Hoang Cong Tinh, Head of the Department of Intensive Care – Anti-Poison, Hoa Binh Provincial General Hospital, on May 30, said that this is one of two patients with Du Mai leaf poisoning being treated at the hospital. .
The second case is a 28-year-old man who went to a dinner party with a dish made with du mai leaves. After several days, the patient developed fatigue, jaundice, yellow eyes, little urination, and red urine. The patient was admitted to the hospital with similar symptoms. Blood test results also showed severe anemia, acute liver failure, acute kidney damage and electrolyte disturbances requiring multiple blood transfusions. Currently, he is also out of critical condition.
“Most of these cases were hospitalized at a late stage with severe anemia, multiple organ failure, vasopressor drugs to raise blood pressure, mechanical ventilation, dialysis, etc. to save their lives. alive,” said the doctor.
A patient with sage leaf poisoning is being actively monitored at the hospital. Image: provided by the doctor
The elm tree has many different names such as locust tree, commercial vegetable, vegetable … The leaves are oval in shape, 10-14 cm long, the base of the leaves is slightly concave, the edges are sparse. The tree grows naturally, most commonly in the northern mountainous provinces such as Thanh Hoa, Hoa Binh, Son La, Dien Bien, Lai Chau, Cao Bang, Bac Can, Thai Nguyen. Vietnamese literature has not recorded any research on this plant.
According to Doctor Tinh, the leaves are often used by people as vegetables, processed with food or boiled water to treat a number of diseases including constipation. However, the toxin of the leaves can cause red blood cell breakdown (hemolysis) leading to severe anemia, especially in people with G6PD (Glucose-6-phosphate dehydrogenase) deficiency.
“This explains the fact that in a plate of food prepared with Du Mai leaves, some people have hemolysis, some people don’t,” the doctor explained.
The cause of G6PD deficiency is a gene mutation on the X chromosome. Men normally have only one X sex chromosome (XY), while women have two X chromosomes. (XX). Therefore, the disease usually manifests in men. Women need a change in both sex chromosomes to cause G6PD deficiency.
Doctors recommend using leaves as well as some other forest leaves with unknown effects, which are very dangerous, especially for people with G6PD deficiency.
When unfortunately suffering from poisoning with leaves, people need to quickly go to medical facilities for treatment or timely referral. Cases of sage leaf poisoning, hospitalization in severe condition, must apply intensive treatment measures with hope of saving lives such as gastric lavage, mechanical ventilation, dialysis, plasma exchange, and disorder correction. electrolyte,…
Thuy An
at Blogtuan.info – Source: vnexpress.net – Read the original article here
