Tejocote Root's Role in Symptomatic Mobitz Type 1 Heart Block: A Compelling Case Report.

Abstract

The clinical presentation and diagnosis of Tejocote root toxicity causing Mobitz Type 1 remains a scarcely clinical phenomenon, often resulting in delayed diagnosis and treatment. This case report highlights a 30-year-old female presenting with a constellation of symptoms, including fatigue, dizziness, chest pressure, myalgias, nausea, vomiting, and peripheral tingling. Significantly, the patient had been using Tejocote root as an over-the-counter laxative acquired from Mexico. Laboratory findings revealed detectable Digoxin levels in her bloodstream, while an electrocardiogram (EKG) indicated sinus bradycardia with Mobitz Type 1 heart block. The patient was treated with a single dose of atropine 0.5 mg IV push. A repeat EKG before discharge showed resolution of the Mobitz type 1. This case underscores the potential cardiovascular repercussions of Tejocote root consumption and emphasizes the importance of heightened clinical awareness, especially in regions where such herbal supplement usage is prevalent.

• Authors: Heabah Assi, Carolina Najera, Omar Aboudawoud, Sahithi Nadella, Jared J Bies, Mariam Hassan, Chanwit Roongsritong
• Journal: Cureus (Cureus) Vol. 15 Issue 9 Pg. e45228 (Sep 2023) ISSN: 2168-8184 [Print] United States
• PMID: 37842399 (Publication Type: Case Reports)
• Copyright: Copyright © 2023, Assi et al.