Evidence map›Paper›PMID 40963135›Full record

ArticleInternational journal of emergency medicine2025

Grayanotoxin poisoning following fresh rhododendron flower ingestion: a rare case report from rural Nepal.

Ashal Timalsina, Arjun Gaire, Roshan Acharya, Anupa Subedi, Rojee Shrestha, Aayusha Suwal

Abstract read
In one paragraph

Article in International journal of emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ashal TimalsinaPashupati Chaulagain Memorial Hospital, Dolakha, Nepal. timalsina.ashal@gmail.com.
Arjun GairePashupati Chaulagain Memorial Hospital, Dolakha, Nepal.
Roshan AcharyaPashupati Chaulagain Memorial Hospital, Dolakha, Nepal.
Anupa SubediPashupati Chaulagain Memorial Hospital, Dolakha, Nepal.
Rojee ShresthaPashupati Chaulagain Memorial Hospital, Dolakha, Nepal.
Aayusha SuwalPashupati Chaulagain Memorial Hospital, Dolakha, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRhododendron, the national flower of Nepal, is widely used for culinary and traditional medicinal purposes. However, certain species, including Rhododendron decorum, contain grayanotoxins known to cause potentially life-threatening toxicity. Toxicity following fresh flower consumption has not been reported. CASE PRESENTATION: We report the case of a 58-year-old man who presented with dizziness, headache, nausea and vomiting following the ingestion of four fresh white Rhododendron flowers during a high-altitude visit to Kalinchowk, Nepal. Examination findings revealed hypotension and bradycardia. Supportive treatment with intravenous fluids led to hemodynamic stabilization. On the second day of admission, the patient experienced transient cerebellar symptoms, which resolved without specific intervention. He recovered fully within 48 h.

conclusionWhile the prognosis is generally favorable with supportive care, recognition of characteristic symptoms is essential. This case highlights the risk of Rhododendron toxicity following ingestion of its flowers, even in small amounts. Public education and clinician awareness are crucial to prevent and manage such toxic exposures effectively.

Indexed as

BradycardiaGrayanotoxinIntoxicationRhododendron

Identifiers

PMID40963135
PMCPMC12442277

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.