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卡波疗法的施用及其与猝死的关联:一项系统评价的临床与法医学视角

Kambo Administration and Its Association With Sudden Death: Clinical and Forensic Perspectives From a Systematic Review.

作者信息

Sacco Matteo Antonio, Gualtieri Saverio, Spiliopoulou Chara, Sakelliadis Emmanouil I, Verrina Maria Cristina, Aquila Isabella

机构信息

Department of Medical and Surgical Sciences, Magna Græcia University of Catanzaro, Catanzaro, ITA.

Department of Forensic Medicine and Toxicology, National and Kapodistrian University of Athens School of Medicine, Athens, GRC.

出版信息

Cureus. 2025 Jan 18;17(1):e77646. doi: 10.7759/cureus.77646. eCollection 2025 Jan.

DOI:10.7759/cureus.77646
PMID:39968447
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11833272/
Abstract

Kambo (Kambô) is a secretion of an amphibian traditionally used by indigenous tribes in the Amazon region. This secretion is derived from the giant monkey frog () and is utilized in tribal cleansing rituals known as Kambo ceremonies. Kambo is purported to offer several benefits, both physical and psychological. Proponents of this practice claim that it can enhance physical endurance, sharpen mental clarity, and boost overall health. However, the side effects, such as tachycardia, blood pressure fluctuations, and gastrointestinal distress, highlight the need for caution. In this work, we analyzed the correlation between Kambo intake and the risk of death. A literature review demonstrated that only a few cases of death have been described to date. These reported cases emphasize the need to consider potential and concrete dangers associated with Kambo uptake, including sudden cardiac death and esophageal rupture. These episodes may be exacerbated in patients with pre-existing risk factors. Careful epidemiological and toxicological surveillance is required to timely identify these events, especially considering the difficulties related to the isolation of Kambo peptides.

摘要

卡姆波是一种两栖动物的分泌物,传统上被亚马逊地区的原住民部落使用。这种分泌物来自巨型猴蛙,用于一种名为卡姆波仪式的部落净化仪式。据称,卡姆波在身体和心理方面都有诸多益处。这种做法的支持者声称,它可以增强身体耐力、提高思维清晰度并改善整体健康状况。然而,其副作用,如心动过速、血压波动和胃肠道不适,凸显了谨慎使用的必要性。在这项研究中,我们分析了摄入卡姆波与死亡风险之间的相关性。文献综述表明,迄今为止仅描述了少数死亡病例。这些报告的病例强调了有必要考虑与摄入卡姆波相关的潜在和具体危险,包括心源性猝死和食管破裂。在有既往风险因素的患者中,这些情况可能会加剧。需要进行仔细的流行病学和毒理学监测,以便及时发现这些事件,特别是考虑到分离卡姆波肽的困难。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf55/11833272/2708b1335677/cureus-0017-00000077646-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf55/11833272/2708b1335677/cureus-0017-00000077646-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf55/11833272/2708b1335677/cureus-0017-00000077646-i01.jpg

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本文引用的文献

1
Boerhaave syndrome following the use of Kambo from the Amazonian frog in Australia.在澳大利亚使用来自亚马逊青蛙的卡姆波后出现的博赫哈夫综合征。
Oxf Med Case Reports. 2023 Apr 20;2023(4):omad036. doi: 10.1093/omcr/omad036. eCollection 2023 Apr.
2
The Amazonian kambô frog (Amphibia: Phyllomedusidae): Current knowledge on biology, phylogeography, toxinology, ethnopharmacology and medical aspects.亚马逊坎波蛙(两栖纲:叶泡蛙科):关于生物学、系统地理学、毒素学、民族药理学及医学方面的现有知识
Front Pharmacol. 2022 Oct 6;13:997318. doi: 10.3389/fphar.2022.997318. eCollection 2022.
3
Kambo: Natural drug or potential toxic agent? A literature review of acute poisoning cases.
卡姆波:天然药物还是潜在毒物?急性中毒病例的文献综述
Toxicol Rep. 2022 Apr 15;9:905-913. doi: 10.1016/j.toxrep.2022.04.005. eCollection 2022.
4
The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.《PRISMA 2020声明:报告系统评价的更新指南》
Syst Rev. 2021 Mar 29;10(1):89. doi: 10.1186/s13643-021-01626-4.
5
Kambô-Induced Systemic Inflammatory Response: A Case Report of Acute Disease Progression of Cholangiocarcinoma.Kambô 引起的全身性炎症反应:一例胆管癌急性疾病进展的病例报告。
Integr Cancer Ther. 2021 Jan-Dec;20:1534735421999106. doi: 10.1177/1534735421999106.
6
Connected to the spirit of the frog: An Internet-based survey on Kambô, the secretion of the Amazonian Giant Maki Frog (): Motivations for use, settings and subjective experiences.与青蛙的精神相连:一项关于亚马孙巨型树蛙()分泌液卡姆布(Kambô)的基于互联网的调查:使用动机、使用环境和主观体验。
J Psychopharmacol. 2021 Apr;35(4):421-436. doi: 10.1177/0269881121991554. Epub 2021 Mar 4.
7
Acute and subacute psychoactive effects of Kambô, the secretion of the Amazonian Giant Maki Frog (Phyllomedusa bicolor): retrospective reports.坎布(亚马逊巨型树蛙 Phyllomedusa bicolor 的分泌物)的急性和亚急性精神活性作用:回顾性报告。
Sci Rep. 2020 Dec 9;10(1):21544. doi: 10.1038/s41598-020-78527-4.
8
Kambo Frog Poison as a Cause of Esophageal Rupture.卡姆波蛙毒致食管破裂
Cureus. 2020 Sep 27;12(9):e10677. doi: 10.7759/cureus.10677.
9
Life-threatening risk of using Kambó in alternative medicine.在替代医学中使用卡姆波存在危及生命的风险。
Neurol Clin Pract. 2020 Aug;10(4):e35-e37. doi: 10.1212/CPJ.0000000000000749.
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Dermatomyositis induced by the secretion of Phyllomedusa bicolor or Kambô frog - A case report.双色棘蛙或卡姆布蛙分泌毒素导致皮肌炎——病例报告。
Toxicon. 2020 Sep;184:57-61. doi: 10.1016/j.toxicon.2020.05.018. Epub 2020 May 28.