Doctors dig out root cause of drug-induced thrombocytopenia: case study

An interaction between semaglutide and the herbal supplement likely heightened the 55-year-old’s symptoms, the team wrote.
Fruit of the tejocote, or Mexican hawthorn.

A middle-aged woman’s ill-fated pursuit of weight loss with the aid of a Mexican herbal supplement landed her in hospital with severe cardiologic and haematologic complications, US doctors report.

The 55-year-old patient presented to ED after experiencing nausea, weakness, abdominal pain and noticing persistent low heart rate readings on her smart watch for about a month.

An ECG showed bradycardia (48bpm) and a prolonged PR interval followed by a non-conducted QRS complex, which her doctors said was indicative of a Mobitz type 1 second degree atrioventricular block.

They also noted elevated calcium (2.76mmol/L) and severe thrombocytopenia (platelet count 22×109/L).