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Hypoglycemic Plant Poisoning Differential Diagnoses

  • Author: Nathan Reisman, MD; Chief Editor: Asim Tarabar, MD  more...
Updated: Apr 28, 2015

Diagnostic Considerations

Other problems to be considered in the differential diagnosis include the following:

  • Fatty liver of pregnancy
  • Glycogen storage diseases types 0-VII
  • Hyperinsulinemia
  • Long-term valproic acid use
  • Long-term nucleoside analog (eg, didanosine [DDL], zidovudine [AZT]) use
  • Ingestion of outdated tetracycline
  • Ingestion of oral hypoglycemics (sulfonylureas) (eg, metformin, phenformin, chlorpropamide)
  • Quinine ingestion
  • Disopyramide ingestion
  • Pentamidine ingestion
  • Seizures
  • Streptozotocin exposure
  • Vacor exposure
  • Herbal product and tea consumption (eg, pennyroyal oil, margosa oil, comfrey, chaparral, germander, groundsel or senecio, Jin Bu Huan, and Syo-saiko-to)

Differential Diagnoses

Contributor Information and Disclosures

Nathan Reisman, MD Clinical Assistant Instructor, Department of Emergency Medicine, Kings County Hospital Center, SUNY Downstate Medical Center

Nathan Reisman, MD is a member of the following medical societies: Emergency Medicine Residents' Association, Society for Simulation in Healthcare

Disclosure: Nothing to disclose.


Sage W Wiener, MD Assistant Professor, Department of Emergency Medicine, State University of New York Downstate Medical Center; Director of Medical Toxicology, Department of Emergency Medicine, Kings County Hospital Center

Sage W Wiener, MD is a member of the following medical societies: American Academy of Clinical Toxicology, American Academy of Emergency Medicine, American College of Medical Toxicology, Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Specialty Editor Board

John T VanDeVoort, PharmD Regional Director of Pharmacy, Sacred Heart and St Joseph's Hospitals

John T VanDeVoort, PharmD is a member of the following medical societies: American Society of Health-System Pharmacists

Disclosure: Nothing to disclose.

Chief Editor

Asim Tarabar, MD Assistant Professor, Director, Medical Toxicology, Department of Emergency Medicine, Yale University School of Medicine; Consulting Staff, Department of Emergency Medicine, Yale-New Haven Hospital

Disclosure: Nothing to disclose.

Additional Contributors

B Zane Horowitz, MD, FACMT Professor, Department of Emergency Medicine, Oregon Health and Sciences University School of Medicine; Medical Director, Oregon Poison Center; Medical Director, Alaska Poison Control System

B Zane Horowitz, MD, FACMT is a member of the following medical societies: American College of Medical Toxicology

Disclosure: Nothing to disclose.


Michael Hodgman, MD Assistant Clinical Professor of Medicine, Department of Emergency Medicine, Bassett Healthcare

Michael Hodgman, MD is a member of the following medical societies: American College of Medical Toxicology, American College of Physicians, Medical Society of the State of New York, and Wilderness Medical Society

Disclosure: Nothing to disclose.

Jennifer Coles Schecter, MD Resident Physician, Department of Emergency Medicine, Lahey Clinic, Burlington, MA

Disclosure: Nothing to disclose.

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