Atropa Belladonna Zehirlenmesi

Abstract

Giriş: Atropa belladona geniş bir coğrafyada ulaşılabilir olan, görünümü birçok meyve ile karışabilen ölümcül etkileri olabilen bir bitkidir. Yedi gün içerisinde hastanemiz acil servisine başvuran dokuz olgunun verileri ışığında Atropa Belladonna zehirlenmesine dikkat çekmeyi amaçladık. Vaka sunumları: Yedi gün içinde hastanemizin acil servisine başvuran dokuz hastayı değerlendirdik. Bu hastaların çoğu diğer meyvelere benzeterek tüketmişti. Bir hasta kasten yutmuştu. İki hasta, hastaneye başvurmaya çalışırken antikolinerjik etkiler nedeniyle trafik kazası geçirmişti. En sık bildirilen semptomlar ağızda kuruluk ve konuşma bozukluğu iken bunu dudaklarda parestezi, bulantı, iki taraflı alt ekstremitelerde güç kaybı, ajitasyon ve geçici bilinç kaybı gibi diğer semptomlar izledi. Olguların sekizi yoğun bakıma yatırıldı, biri ayaktan taburcu edildi. Sonuç: Doğada ulaşması kolay olan bu bitki ve meyvesi hakkında toplum bilinçlendirilmelidir. Özellikle yaz mevsimlerinde sağlık çalışanları benzer klinik ile gelen hastalarda hikaye ayrıntılı sorgulanmalıdır.

Keywords

• Belladonna alkaloidleri
• Zehirlenme
• Doğa

Atropa Belladonna Intoxication

Abstract

Introduction: Atropa belladonna is an available plant in a wide geographical area that has an appearance that can be confused with many fruits and potential lethal effects. We aimed to draw attention to Atropa belladonna poisoning in the light of the data of 9 cases who appealed to the emergency department of our hospital within 7 days. Case Reports: We evaluated 9 patients who appealed to the emergency service of our hospital within the seven day. Most of these patients had ingested by confusion with other fruits. One patient had ingested deliberately. Two patients had experienced traffic accidents due to anticholinergic effects during attempt to appeal to the hospital. The most commonly reported symptoms were xerostomia and incoherent speech followed by other symptoms such as paresthesia in lips, nausea, loss of strength in bilateral lower extremities, agitation and temporary loss of consciousness. Eight of the cases were admitted in the intensive care unit one case was discharged as outpatient. Conclusion: The awareness of the public should be raised about this easily accessible plant and its fruit in the nature. The healthcare providers should comprehensively investigate the history of the patients applying with similar clinic particularly in the summer season.

Keywords

• Belladonna Alkaloids
• Poisoning
• Nature

References

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