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Melek Trompeti Alımı Sonrası Gelişen Antikolinerjik Zehirlenme Olgusu

Year 2024, Volume: 9 Issue: 3, 137 - 141, 27.11.2024
https://doi.org/10.70852/tmj.1548765

Abstract

Bitkisel kaynaklı antikolinerjik zehirlenmeler, antikolinerjik toksidromun iyi tanımlanmış bir nedeni olsa da acil servis başvurularının nadir bir nedenidir. Antikolinerjik bitkiler içerdikleri skopalamin, atropin ve hiyosiyamin gibi alkoloidler nedeniyle hastalarda antikolinerjik bulgulara neden olmaktadır. Melek Trompeti (Brugmansia), Solanacea familyasına ait olup, büyük miktarda alkaloid içeren bir süs bitkisidir. Bu yazıda melek trompeti bitkisinin çiçeğini yedikten sonra antikolinerjik belirtiler ile acil servise getirilen bir çocuk hasta sunulacaktır.

References

  • Doan, U. V., Wu, M. L., Phua, D. H., Mendez Rojas, B., & Yang, C. C. (2019). Datura and Brugmansia plants related antimuscarinic toxicity: an analysis of poisoning cases reported to the Taiwan poison cont rol center. Clinical toxicology (Philadelphia, Pa.), 57(4), 246–253. https://doi.org/10.1080/15563650.2018.1513527
  • Evans, W. C. (1996) Tropane alkaloids. Trease and Evans Pharmacognosy. London, UK: Saunders Company Ltd, ; 346–58.
  • Gowdy J. M. (1972). Stramonium intoxication: review of symptomatology in 212 cases. JAMA, 221(6), 585–587. https://doi.org/10.1001/jama.221.6.585
  • Göpel, C., Laufer, C., & Marcus, A. (2002). Three cases of angel’s trumpet tea-induced psychosis in adolescent substance abusers. Nordic journal of psychiatry, 56(1), 49–52. https://doi.org/10.1080/08039480252803927
  • Greene, G. S., Patterson, S. G., & Warner, E. (1996). Ingestion of angel’s trumpet: an increasingly com mon source of toxicity. Southern medical journal, 89(4), 365–369. https://doi.org/10.1097/00007611-199604000-00002
  • Hayman J. (1985). Datura poisoning--the Angel’s Trumpet. Pathology, 17(3), 465–466. https://doi.org/10.3109/00313028509105502
  • Isbister, G. K., Oakley, P., Dawson, A. H., & Whyte, I. M. (2003). Presumed Angel’s trumpet (Brugmansia) poisoning: clinical effects and epidemiology. Emergency Medicine, 15(4), 376-382.
  • Kim, Y., Kim, J., Kim, O. J., & Kim, W. C. (2014). Intoxication by angel’s trumpet: case report and litera ture review. BMC research notes, 7, 553. https://doi.org/10.1186/1756-0500-7-553
  • Levy R. (1977). Jimson seed poisoning-- a new hallucinogen on the horizon. JACEP, 6(2), 58–61. https://doi.org/10.1016/s0361-1124(77)80035-x
  • Nguyen, T. T., Armengol, C., Wilhoite, G., Cumpston, K. L., & Wills, B. K. (2018). Adverse events from physostigmine: An observational study. The American journal of emergency medicine, 36(1), 141–142. https://doi.org/10.1016/j.ajem.2017.07.006
  • Pundir, S., Shukla, M. K., Singh, A., Chauhan, R., Lal, U. R., Ali, A., & Kumar, D. (2022). A comprehen sive review on angel’s trumpet (Brugmansia suaveolens). South African Journal of Botany, 151, 266-274.
  • Schneir, A. B., Offerman, S. R., Ly, B. T., Davis, J. M., Baldwin, R. T., Williams, S. R., & Clark, R. F. (2003). Complications of diagnostic physostigmine administration to emergency department patients. Annals of emergency medicine, 42(1), 14–19. https://doi.org/10.1067/mem.2003.232
  • Serin, H. M., Ozen, B., & Yilmaz, S. (2018). A Rare Cause of Acute Anisocoria in a Child: The Angel’s Trumpet Plant. Journal of pediatric ophthalmology and strabismus, 55, e33–e35. https://doi.org/10.3928/01913913-20181009-01
  • Shervette III, E. R., Shcydlower, M;, Fearnow, R. G., & Lampe, R. M.(1979). Jimson “loco” weed abuse in adolescents. Pediatrics, 63(4), 520-523.

A Case of Anticholinergic Poisoning After Ingestion of Angel's Trumpet

Year 2024, Volume: 9 Issue: 3, 137 - 141, 27.11.2024
https://doi.org/10.70852/tmj.1548765

Abstract

Anticholinergic poisonings from plant sources, although a well-defined cause of anticholinergic toxidrome, are a rare cause of emergency room visits. Anticholinergic plants cause anticholinergic symptoms in patients due to the alkaloids they contain, such as scopolamine, atropine, and hyoscyamine. Angel’s Trumpet (Brugmansia) is an ornamental plant belonging to the Solanacea family and containing large amounts of alkaloids. In this article, a child patient who was brought to the emergency room with anticholinergic symptoms after eating the flower of the angel’s trumpet plant will be presented.

References

  • Doan, U. V., Wu, M. L., Phua, D. H., Mendez Rojas, B., & Yang, C. C. (2019). Datura and Brugmansia plants related antimuscarinic toxicity: an analysis of poisoning cases reported to the Taiwan poison cont rol center. Clinical toxicology (Philadelphia, Pa.), 57(4), 246–253. https://doi.org/10.1080/15563650.2018.1513527
  • Evans, W. C. (1996) Tropane alkaloids. Trease and Evans Pharmacognosy. London, UK: Saunders Company Ltd, ; 346–58.
  • Gowdy J. M. (1972). Stramonium intoxication: review of symptomatology in 212 cases. JAMA, 221(6), 585–587. https://doi.org/10.1001/jama.221.6.585
  • Göpel, C., Laufer, C., & Marcus, A. (2002). Three cases of angel’s trumpet tea-induced psychosis in adolescent substance abusers. Nordic journal of psychiatry, 56(1), 49–52. https://doi.org/10.1080/08039480252803927
  • Greene, G. S., Patterson, S. G., & Warner, E. (1996). Ingestion of angel’s trumpet: an increasingly com mon source of toxicity. Southern medical journal, 89(4), 365–369. https://doi.org/10.1097/00007611-199604000-00002
  • Hayman J. (1985). Datura poisoning--the Angel’s Trumpet. Pathology, 17(3), 465–466. https://doi.org/10.3109/00313028509105502
  • Isbister, G. K., Oakley, P., Dawson, A. H., & Whyte, I. M. (2003). Presumed Angel’s trumpet (Brugmansia) poisoning: clinical effects and epidemiology. Emergency Medicine, 15(4), 376-382.
  • Kim, Y., Kim, J., Kim, O. J., & Kim, W. C. (2014). Intoxication by angel’s trumpet: case report and litera ture review. BMC research notes, 7, 553. https://doi.org/10.1186/1756-0500-7-553
  • Levy R. (1977). Jimson seed poisoning-- a new hallucinogen on the horizon. JACEP, 6(2), 58–61. https://doi.org/10.1016/s0361-1124(77)80035-x
  • Nguyen, T. T., Armengol, C., Wilhoite, G., Cumpston, K. L., & Wills, B. K. (2018). Adverse events from physostigmine: An observational study. The American journal of emergency medicine, 36(1), 141–142. https://doi.org/10.1016/j.ajem.2017.07.006
  • Pundir, S., Shukla, M. K., Singh, A., Chauhan, R., Lal, U. R., Ali, A., & Kumar, D. (2022). A comprehen sive review on angel’s trumpet (Brugmansia suaveolens). South African Journal of Botany, 151, 266-274.
  • Schneir, A. B., Offerman, S. R., Ly, B. T., Davis, J. M., Baldwin, R. T., Williams, S. R., & Clark, R. F. (2003). Complications of diagnostic physostigmine administration to emergency department patients. Annals of emergency medicine, 42(1), 14–19. https://doi.org/10.1067/mem.2003.232
  • Serin, H. M., Ozen, B., & Yilmaz, S. (2018). A Rare Cause of Acute Anisocoria in a Child: The Angel’s Trumpet Plant. Journal of pediatric ophthalmology and strabismus, 55, e33–e35. https://doi.org/10.3928/01913913-20181009-01
  • Shervette III, E. R., Shcydlower, M;, Fearnow, R. G., & Lampe, R. M.(1979). Jimson “loco” weed abuse in adolescents. Pediatrics, 63(4), 520-523.
There are 14 citations in total.

Details

Primary Language Turkish
Subjects Pediatric Emergency, Paediatrics (Other)
Journal Section Case Reports
Authors

Aytaç Göktuğ 0000-0002-0242-2368

Gülser Esen Besli 0000-0001-6837-5384

Publication Date November 27, 2024
Submission Date September 12, 2024
Acceptance Date October 21, 2024
Published in Issue Year 2024 Volume: 9 Issue: 3

Cite

APA Göktuğ, A., & Esen Besli, G. (2024). Melek Trompeti Alımı Sonrası Gelişen Antikolinerjik Zehirlenme Olgusu. Turkish Medical Journal, 9(3), 137-141. https://doi.org/10.70852/tmj.1548765

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