National Hospital Kandy, Kandy, Sri Lanka.
J Med Case Rep. 2024 Mar 19;18(1):163. doi: 10.1186/s13256-024-04481-8.
Herbal products and traditional remedies are commonly used by individuals worldwide for the management of common ailments, even though most are not without risks. Acalypha indica is a popular medicinal plant consumed in some Asian countries.
This case report presents a 40-year-old previously unevaluated Sri Lankan female and her 8-year-old son who presented with severe glucose-6-phosphate dehydrogenase (G6PD) deficiency related acute intravascular oxidative haemolysis and methaemoglobinaemia precipitated by Acalypha indica consumption, successfully managed with supportive care and blood transfusion.
This case highlights the potential hemolytic and methaemoglobinaemic effects of ingesting oxidant herbal products and the importance of considering such exposures in patients presenting with hemolysis and multiorgan involvement, particularly in communities where herbal product intake is popular. Healthcare providers should be aware of the risks associated with traditional remedies and maintain a high index of suspicion to ensure prompt recognition and appropriate management.
草药产品和传统疗法在全球范围内被个人广泛用于治疗常见疾病，尽管大多数疗法并非没有风险。飞扬草是一种在一些亚洲国家被广泛使用的药用植物。
本病例报告介绍了一位来自斯里兰卡的 40 岁未评估的女性及其 8 岁的儿子，他们因食用飞扬草而导致严重的葡萄糖-6-磷酸脱氢酶（G6PD）缺乏相关的急性血管内氧化溶血和高铁血红蛋白血症，通过支持性治疗和输血成功治疗。
本病例强调了摄入氧化剂草药产品可能导致溶血和高铁血红蛋白血症，并强调了在出现溶血和多器官受累的患者中，特别是在草药产品摄入流行的社区中，考虑这些暴露的重要性。医疗保健提供者应该了解与传统疗法相关的风险，并保持高度怀疑指数，以确保及时识别和适当管理。
