Herb Poisoning Differential Diagnoses

1. Slifman NR, Obermeyer WR, Aloi BK, Musser SM, Correll WA Jr, Cichowicz SM, et al. Contamination of botanical dietary supplements by Digitalis lanata. N Engl J Med. 1998 Sep 17. 339(12):806-11. [Medline].

2. National Institutes of Health. Jin Bu Huan (Lycopodium serratum). LiverTox. United States National Library of Medicine. Available at http://livertox.nih.gov/JinBuHuan.htm. Accessed: February 11, 2016.

3. Teschke R, Zhang L, Long H, Schwarzenboeck A, Schmidt-Taenzer W, Genthner A, et al. Traditional Chinese Medicine and herbal hepatotoxicity: a tabular compilation of reported cases. Ann Hepatol. 2015 Jan-Feb. 14 (1):7-19. [Medline].

4. Centers for Disease Control and Prevention. Hepatitis temporally associated with an herbal supplement containing artemisinin - Washington, 2008. MMWR Morb Mortal Wkly Rep. 2009 Aug 14. 58(31):854-6. [Medline].

5. Kamiyama T, Nouchi T, Kojima S, Murata N, Ikeda T, Sato C. Autoimmune hepatitis triggered by administration of an herbal medicine. Am J Gastroenterol. 1997 Apr. 92(4):703-4. [Medline].

6. Baker JD. Tradition and toxicity: evidential cultures in the kava safety debate. Soc Stud Sci. 2011 Jun. 41 (3):361-84. [Medline].

7. Showman AF, Baker JD, Linares C, Naeole CK, Borris R, Johnston E, et al. Contemporary Pacific and Western perspectives on `awa (Piper methysticum) toxicology. Fitoterapia. 2015 Jan. 100:56-67. [Medline].

8. Kuchta K, Schmidt M, Nahrstedt A. German Kava Ban Lifted by Court: The Alleged Hepatotoxicity of Kava (Piper methysticum) as a Case of Ill-Defined Herbal Drug Identity, Lacking Quality Control, and Misguided Regulatory Politics. Planta Med. 2015 Dec. 81 (18):1647-53. [Medline].

9. Fox S. Chinese Herb Remains Health Threat Despite Widespread Bans. Medscape Medical News, March 18, 2013. Available at http://www.medscape.com/viewarticle/780947. Accessed: February 11, 2016.

10. Buettner C, Mukamal KJ, Gardiner P, Davis RB, Phillips RS, Mittleman MA. Herbal supplement use and blood lead levels of United States adults. J Gen Intern Med. 2009 Nov. 24(11):1175-82. [Medline]. [Full Text].

11. White J. PC-SPES--a lesson for future dietary supplement research. J Natl Cancer Inst. 2002 Sep 4. 94(17):1261-3. [Medline].

12. Centers for Disease Control and Prevention. Self-treatment with herbal and other plant-derived remedies--rural Mississippi, 1993. MMWR Morb Mortal Wkly Rep. 1995 Mar 24. 44(11):204-7. [Medline].

13. Clarke TC, Black LI, Stussman BJ, Barnes PM, Nahin RL. Trends in the use of complementary health approaches among adults: United States, 2002-2012. Natl Health Stat Report. 2015 Feb 10. 1-16. [Medline]. [Full Text].

14. Black LI, Clarke TC, Barnes PM, Stussman BJ, Nahin RL. Use of complementary health approaches among children aged 4-17 years in the United States: National Health Interview Survey, 2007-2012. Natl Health Stat Report. 2015 Feb 10. 1-19. [Medline]. [Full Text].

15. Hung OL, Shih RD, Chiang WK, Nelson LS, Hoffman RS, Goldfrank LR. Herbal preparation use among urban emergency department patients. Acad Emerg Med. 1997 Mar. 4(3):209-13. [Medline].

16. World Health Organization. Traditional Medicine. Available at http://www.who.int/mediacentre/factsheets/2003/fs134/en/. May 2003; Accessed: February 11, 2016.

17. Haslan H, Suhaimi FH, Das S. Herbal Supplements and Hepatotoxicity: A Short Review. Nat Prod Commun. 2015 Oct. 10 (10):1779-84. [Medline].

Fermin Barrueto, Jr, MD, FAAEM, FACEP Chairman, Department of Emergency Medicine, Upper Chesapeake Health Systems; Clinical Assistant Professor, Department of Emergency Medicine, University of Maryland School of Medicine; Medical Toxicology Consultant, Maryland Poison Control Center

Fermin Barrueto, Jr, MD, FAAEM, FACEP is a member of the following medical societies: American Academy of Clinical Toxicology, American Academy of Emergency Medicine, American College of Emergency Physicians, American College of Medical Toxicology, Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Jon Mark Hirshon, MD, MPH, PhD Professor, Department of Emergency Medicine, University of Maryland School of Medicine

Jon Mark Hirshon, MD, MPH, PhD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Emergency Medicine, American College of Emergency Physicians, American Public Health Association, Society for Academic Emergency Medicine

Disclosure: Serve(d) as a director, officer, partner, employee, advisor, consultant or trustee for: Pfizer.

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.

B Zane Horowitz, MD, FACMT Professor, Department of Emergency Medicine, Oregon Health and Sciences University; 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.

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.

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