Fatalities are not known in modern literature, though it’s certainly possible that people have died from eating the fruit of the manchineel. “Shipwrecked sailors have been reported to have eaten manchineel fruits and, rather than dying a violent death, they had inflammations and blistering around the mouth. Other people have been diagnosed with severe stomach and intestinal issues,” says Roger Hammer, a naturalist and botanist who has written many books about the flora of Florida.