• J Emerg Med · Sep 2013

    Case Reports

    An Unusual Case of Butcher's Broom Precipitating Diabetic Ketoacidosis.

    • Praveen P Sadarmin and Jonathan Timperley.
    • Department of Cardiology, Northampton General Hospital, UK.
    • J Emerg Med. 2013 Sep 1;45(3):e63-5.

    BackgroundHerbal medicines are readily available and commonly perceived to be relatively harmless. Butcher's Broom is used in various medicinal preparations and contains substances having α-adrenergic-stimulating properties.ObjectiveOur aim was to report a case of toxicity associated with Butcher's Broom in a diabetic patient.Case ReportA 39-year-old woman developed diabetic ketoacidosis 5 days after beginning therapy with Butcher's Broom for mild ankle swelling. Her diabetic ketoacidosis was complicated by hyperkalemia and acidosis with a pH of 7.02. After management with intravenous fluid, insulin, and calcium gluconate, her condition stabilized and she was discharged several days later.ConclusionsThis case represents a small but potentially serious public health concern in a diabetic woman taking Butcher's Broom.Copyright © 2013 Elsevier Inc. All rights reserved.

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