From the medical journal
Death due to chronic syrup of ipecac use in a patient with bulimia.
Schiff RJ, Wurzel CL, Brunson SC, Kasloff I, Nussbaum MP, Frank SD.
A 17-year-old girl presented with malaise, weakness, palpitations, dysphagia, myalgias, and weight loss of 1 month's duration. Within 24 hours of admission to the hospital, she had hypotension unresponsive to medical management, intractable congestive heart failure, and arrhythmias; she died.