A patient presents with nausea, vomiting, flushing and altered mental status after participating in a cleanse the day prior. You note this on her ankle. What is the exposure?
Kambo. Kambo or sapo is the dried skin scrapings from the giant leaf frog (Phyllomedusa bicolor).
Li K et al. Prolonged toxicity from Kambo cleansing ritual. Clin Tox 2018; 56(11): 1165. https://doi.org/10.1080/15563650.2018.1457153