Poisoning after consumption of toad has been reported in many countries. The author reported
the case of a Thai man who ingested a cooked toad and developed signs and symptoms consistent
with acute digitalis toxicity. The patient presented with gastrointestinal symptoms and alternating
bradyarrhythmias, and was treated initially with atropine and dopamine intravenously. He was then
admitted to the coronary care unit and placed on a temporary pacemaker. Digoxin specifi c Fab was
given as suggested by the Siriraj Poison Control Center. The patient subsequently improved and
was discharged after 6 days of admission.