Journal of Family & Community Medicine
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Year : 2020  |  Volume : 27  |  Issue : 1  |  Page : 67-69

Cardiac arrest and stroke due to unsupervised use of herbal preparation

1 Department of Family and Community Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
2 Department of Internal Medicine, King Fahd Hospital of the University, Al-Khobar, Saudi Arabia

Correspondence Address:
Dr. Malak A Alshammari
Department of Family and Community Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 34212
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jfcm.JFCM_83_19

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Despite the widespread use of herbal preparations and ongoing studies on their therapeutic potential, there are no safety standards on their usage. We report a case of a 36-year-old male patient who presented with severe muscle weakness and generalized fatigue. He had no significant medical history. Initial laboratory investigations revealed hypokalemia, hypomagnesemia, and hypophosphatemia. His condition suddenly deteriorated, and he went into cardiac arrest. He was resuscitated in accordance with advanced life support guidelines. On recovery, he had left-sided weakness and dysarthria. He underwent head computed tomography, which revealed an acute infarct in the right middle cerebral artery territory. We determined that he had developed electrolyte deficiency as a result of a recent intake of a mixture of herbs consisting of khella, barley, and frankincense for kidney stones.

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Journal of Family and Community Medicine | Published by Wolters Kluwer - Medknow
Online since 05th September, 2010