Bottle gourd (Lagenaria siceraria) juice XXXX .

@entity1 @entity137 @entity353 @entity101 @entity6 @entity6552 @entity409 @entity391 @entity4968 @entity71527 @entity360
BACKGROUND: Bottle gourd (Lagenaria siceraria) is popularly known as lauki, ghia or dudhi in India. Its consumption is advocated by traditional medicine healers for controlling @entity6 , @entity101 , @entity409 , @entity353 . However, in last few years there have been reports of suspected @entity137 due to consumption of its juice leading to severe @entity391 and upper @entity360 . As emergency physicians we need to be aware of this very rare @entity4968 specially in India. METHODS: We present a case of a 52-year-old @entity1 who presented with multiple episodes of @entity6552 and shock to the emergency department (ED) after consuming bottle gourd juice. The @entity1 was resuscitated and stabilized with fluids, proton pump inhibitors and antiemetics and shifted to the intensive care unit (ICU) under the care of a gastroenterology team for urgent endoscopy and further management. RESULTS: The @entity1 received intravenous fluids, antibiotics, antiemetics, and antacids and underwent upper gastroenterologic endoscopy during the hospitalization. She was discharged in a stable condition 4 days later. CONCLUSIONS: As a member of the Cucurbitaceae family, bottle gourd contains toxic @entity71527 compounds called cucurbitacins which are responsible for the bitter taste and @entity137 . There is no known antidote for this @entity137 , and clinicians treat such @entity1 symptomatically only. It is important to educate the public about the harmful effects of this potentially life-threatening @entity137 .
