Rare disease
Life-threatening episode after ingestion of toad eggs: a case report with literature review
1 Department of Emergency Medicine, Cathay General Hospital, Taipei, Taiwan; Fu Jen Catholic University School of Medicine, Taipei, Taiwan, Republic of China
2 National Defense Medical Center, Taipei, Taiwan, Republic of China
Correspondence to:
Y-S Shen, yingsheng1024{at}yahoo.com.tw
It is known that the toad possesses several toxic substances in the skin and parotid glands. In the past, toad-venom poisoning has been reported from ingestion of toad soup, Kyushin and aphrodisiac pills, but poisoning from toad eggs is observed for the first time. The case of a healthy female who had previously eaten toad soup twice without any discomfort is reported. She developed gastrointestinal symptoms and life-threatening cardiac rhythm after ingestion of toad eggs. A transvenous temporary pacemaker was used promptly to prevent from lethal bradyarrhythmia. Hyperkalaemia was managed with insulin, glucose water and sodium bicarbonate. A digoxin-specific Fab fragment was administered to this young woman 4 h subsequent to her admission.
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