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

作　　者：Fang Li An-Bao Chen Yong-Chun Duan Rui Liao Yu-Wei Xu Li-Li Tao 

机构地区：[1]Department of Emergency Medicine, The Second Affiliated Hospital of Kunming Medical University

出　　处：《World Journal of Clinical Cases》2020年第2期479-486,共8页世界临床病例杂志

基　　金：Supported by the Talent Development Program of The Second Affiliated Hospital of Kunming Medical University,China,No.RCPYXM2017-3-04

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.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.

关 键 词：Moonwort poisoning Multiple organ dysfunction RHABDOMYOLYSIS HEMOPERFUSION Plasma exchange Case report 

分 类 号：R595.4[医药卫生—内科学]