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J Emerg Med. 2013 Sep;45(3):e63-5. doi: 10.1016/j.jemermed.2012.11.087. Epub 2013 Jul 10.

An unusual case of Butcher's Broom precipitating diabetic ketoacidosis.

Author information

1
Department of Cardiology, Northampton General Hospital, UK.

Abstract

BACKGROUND:

Herbal medicines are readily available and commonly perceived to be relatively harmless. Butcher's Broom is used in various medicinal preparations and contains substances having α-adrenergic-stimulating properties.

OBJECTIVE:

Our aim was to report a case of toxicity associated with Butcher's Broom in a diabetic patient.

CASE REPORT:

A 39-year-old woman developed diabetic ketoacidosis 5 days after beginning therapy with Butcher's Broom for mild ankle swelling. Her diabetic ketoacidosis was complicated by hyperkalemia and acidosis with a pH of 7.02. After management with intravenous fluid, insulin, and calcium gluconate, her condition stabilized and she was discharged several days later.

CONCLUSIONS:

This case represents a small but potentially serious public health concern in a diabetic woman taking Butcher's Broom.

KEYWORDS:

Butcher's Broom; diabetes mellitus; diabetic ketoacidosis; herbal medicines

PMID:
23849361
DOI:
10.1016/j.jemermed.2012.11.087
[Indexed for MEDLINE]

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