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Oxford Textbook of Medicine (5 ed.)

Edited by David A. Warrell, Timothy M. Cox, John D. Firth

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The November 2012 update sees updates to over 70 chapters, focusing on Neurology and Gastroenterology. This update also incorporates a selection of 29 Case Histories taken from related titles in the Oxford Case Histories series, linked to from related chapters. Each case includes several questions followed by detailed answers and discussion to enhance diagnostic and clinical understanding.

Neurology updates include substantial updates to key chapters and new material on a wide range of topics including spinal cord injury, autonomic nervous system disorders, and inherited neurodegenerative diseases. 

Gastroenterology updates include extensive revisions of key chapters on liver failure and acute pancreatitis and new material on a wide range of matters, ranging from the common to the rare: including surgical treatments for colonic diverticular disease, antibody tests for immune disorders, and a revised treatment algorithm for small bowel bacterial overgrowth.

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Publisher:
Oxford University Press
Print Publication Date:
May 2010
Print ISBN-13:
9780199204854
Published to Oxford Medicine:
May 2012
DOI:
10.1093/med/9780199204854.001.1

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Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breastfeeding.

Contents

Common Indian poisonous plants

Chapter:
Common Indian poisonous plants
Author(s):

V.V. Pillay

DOI:
10.1093/med/9780199204854.003.090302

November 28, 2012: This chapter has been re-evaluated and remains up-to-date. No changes have been necessary.

Common poisonous plants encountered in India include (1) irritant plants, e.g. castor, colocynth, croton, glory lily, marking nut, mayapple, red pepper, rosary pea; (2) cardiotoxic plants, e.g. aconite, autumn crocus, common oleander, yellow oleander, suicide tree; (3) neurotoxic plants, e.g. calotropis, cassava, chickling pea, datura, strychnos; (4) hepatotoxic plants, e.g. neem; and (5) miscellaneous toxic plants and plant products, including arecanut, Cleistanthus collinus, and physic nut.

Accidental poisoning with some of these plants or plant products may occur among inhabitants of rural areas, dependent on their farms and gardens for food, due to mistakes in identifying toxic plants, with children being at particular risk. Contamination of foodstuffs and the use of poisonous plants in traditional or folk medicine are other causes of poisoning. Suicide using poisonous plants is fairly common in India, especially in rural areas, most typically with the cardiac glycoside containing fruits of yellow oleander or the suicide tree Cerbera odollam, both of which are rarely employed in homicide.

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