Datura stramonium L. poisoning in a geophagous child: a case report

Bouziri, Asma; Hamdi, Abdelaziz; Borgi, Aida; Hadj, Sarra Bel; Fitouri, Z.; Menif, Khaled; Jaballah, Nejla Ben

doi:10.1186/1865-1380-4-31

Cited by 30 publications

(22 citation statements)

References 4 publications

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“…Rhabdomyolysis and fulminant hepatitis have also been reported rarely. Since children have a marked irritability to atropine toxicity, even a small amount may produce severe central nervous system manifestations [7].…”

Section: Discussionmentioning

confidence: 99%

Datura stramonium poisoning: a case report and review of the literature

Korkmaz

Bostancı

Onur

et al. 2019

The European Research Journal

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Datura stramonium is a widespread annual, leafy herbaceous plant that is a powerful hallucinogen. It can cause severe anticholinergic poisoning after inappropriate and unconsciously usage. We would like to present an approach, accompanied by literature, to the poisoning case for a 6-year-old child who initially presented with altered mental status, abnormal/incoherent speech and agitation, and had an only response to physostigmine. It is essential to consider anticholinergic plant-based ingestions in the differential diagnosis of children presenting with altered mental state, hallucination, and agitation. Health care workers and parents should be aware of toxicities and potential risks of these plants.

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Section: Discussionmentioning

confidence: 99%

Datura stramonium poisoning: a case report and review of the literature

Korkmaz

Bostancı

Onur

et al. 2019

The European Research Journal

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“…Datura stramonium (DS), also known as Jimson Weed, Locoweed, Angel's Trumpet, Thorn Apple, Devil's Trumpet is a hallucinogenic plant found in the urban and rural areas, along roadsides, in cornfields and pastures [1,[2][3][4][5]. The range of toxicity of Datura stramonium is highly variable and unpredictable.…”

Section: Introductionmentioning

confidence: 99%

Acute poisoning due to ingestion of Datura stramonium – a case report

2017

Rom J Anaesth Int Care

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Datura stramonium (DS) is a widespread annual plant, containing atropine, hyoscyamine, and scopolamine, which can produce poisoning with a severe anticholinergic syndrome. Teenagers ingest the roots, seeds or the entire plant to obtain its hallucinogenic and euphoric effects. We presented the case of a 22 year old male who was admitted to the Emergency Room in a coma after consuming Datura stramonium, 2 hours earlier. The patient presented with fever, tachycardia with right bundle branch block, and urinary retention. Rapid sequence induction and intubation was performed immediately, with sedation and assisted-control mechanical ventilation, after being transferred to the Intensive Care Unit. The patient received activated charcoal, in repeated doses, external and internal cooling was applied, and an infusion of neostigmine was started. The biological assessment revealed rhabdomyolysis and prevention of renal failure was initiated. After a proper neurological evaluation, 36 hours after using Datura stramonium, the patient was extubated and transferred to the Psychiatric ward for further assessment and care.

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“…Datura stramonium, Solanaceae familyasının bir üyesi olan, halüsinojenik bir bitkidir (1,2). Bitki ülkemizde geniş çapta dağılmış olmasına ve kolayca erişilebilmesine rağmen, bu bitki ile zehirlenme özellikle çocuklarda çok nadirdir (3,4).…”

Section: Introductionunclassified

“…Burada datura stramonium zehirlenmesinin klinik özelliklerini, tedavisini ve sonuçlarını tanımlamak için iki vaka sunulmuştur. TARTIŞMA "Melek trompeti" veya "Boru çiçeği" olarak da adlandırılan Datura stramonium, atropin benzeri bir etkiye neden olabilecek alkaloidlerin (atropin, skopolamin, hyosiyamin) zenginliği nedeniyle oldukça toksik bir bitkidir (1,2). Bu alkaloidler çoğunlukla tohum ve yaprakta depolanmakla birlikte, bitkinin diğer bölümlerinde de bulunabilirler.…”

Section: Introductionunclassified

Datura Stramonium Zehirlenmesi Sonucu Antikolinerjik Sendrom: İki Olgu Sunumu

Nalbantoğlu

Aslan

Samanci

et al. 2017

Zeynep Kamil Tıp Bülteni

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ÖZETBoru çiçeği veya melek trompeti adıyla da bilinen Datura stramonium, çok sayıda alkaloid içeren belladonna ailesine ait toksik bir bitkidir. Datura stramonium bitkisinin tüm bölümleri, deliriantlar veya antikolinerjikler olarak sınıflandırılan atropin, hiyasiyomin ve skopolamin gibi tehlikeli seviyelerde tropan alkaloidleri içerir. Yüksek miktarda datura stramonium alımının zehirlenmeye neden olabileceği, genelde delirium (halüsinasyona karşıt olarak), hipertermi, taşikardi, tuhaf davranış ve ciddi midriyazisle sonuçlanarak birkaç gün sürecek ağrılı fotofobi ortaya çıkabilir. Semptomların başlangıcı genellikle, bitkiyi aldıktan yaklaşık 30 ila 60 dakika sonra gerçekleşir. Bu semptomlar genellikle 24 ila 48 saat arasında sonlanır, ancak bazı vakalarda iki haftaya kadar sürdüğü bildirilmiştir. Bu yazıda, ağız kuruluğu, öforik semptomlar, görsel halusinasyonlar ve oryantasyon bozukluğu ile acil servise getirilen 6 ve 8 yaşlarındaki kardeşlerin datura stramonium ile zehirlenmesini bildirmekteyiz.Anahtar Kelimeler: antikolinerjik toksisite; datura stramonium; zehirlenme; deliryum; halüsinasyon SUMMARY Datura stramonium, also known as pipe flower or angel's trumpet, is a toxic plant member of the belladonna family containing several alkaloids. All parts of Datura plants contain tropane alkaloids at dangerous levels, such as atropine, hyaline and scopolamine, classified as deliriums or anticholinergics. High amounts of datura stramonium ingestion may result in painful photophobia, which can lead to poisoning, usually lasting several days, resulting in delirium (as opposed to hallucinations), hyperthermia, tachycardia, strange behavior and severe mydriasis. The onset of symptoms is usually about 30 to 60 minutes after taking the plant. These symptoms usually end between 24 and 48 hours, but have been reported to last up to two weeks in some cases. In this article, we report the poisoning of 6 to 8 year old siblings with datura stramonium, who were brought to the emergency service with dry mouth, euphoric symptoms, visual hallucinations and disorientation.

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Datura stramonium L. poisoning in a geophagous child: a case report

Cited by 30 publications

References 4 publications

Datura stramonium poisoning: a case report and review of the literature

Datura stramonium poisoning: a case report and review of the literature

Acute poisoning due to ingestion of Datura stramonium – a case report

Datura Stramonium Zehirlenmesi Sonucu Antikolinerjik Sendrom: İki Olgu Sunumu

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