Dieffenbachia plant poisoning cases and effects on human health

Yıl 2020, , 65 - 68, 15.05.2020

Ummuhan Unlu , Aytaç Kocabaş

https://doi.org/10.30616/ajb.682862

Cited By: 3

Öz

Many plants, such as Dieffenbachia Schott, which are poisonous and can be life threatening, are present in the habitats of people. Dieffenbachia is widely used for ornamental purposes in living quarters, but it is a plant species that can harm human health as a result of contact, chewing or ingestion. The aim of this work is to attract the attention of researchers to the role of the Dieffenbachia plant, often used for ornamental purposes in homes, especially in the case of home accidents that children are exposed to and the likelihood of abuse. For this reason, Dieffenbachia poisoning cases in the literature have been discussed in the context of resources. A total of 7 cases were studied, including three cases of 1-3 years of age, 3 cases of 7-12 years and a case of adult age of 69, obtained by investigating the literature. Dieffenbachia plant can cause vital signs, such as airway obstruction and respiratory failure, as well as mild skin reactions, depending on the type of contact and amount of exposure. Care should be taken and caution should be exercised on the use of plants such as Dieffenbachia and similar plants in houses, playgrounds and other green area regulations.

Anahtar Kelimeler

Dieffenbachia, Toxic Plants, child poisoning

Dieffenbachia bitkisi zehirlenme vakaları ve insan sağlığı üzerine etkileri

Öz

Dieffenbachia Schott gibi zehirli etkisi olan ve yaşamı tehdit edebilen birçok bitki bilerek ya da bilmeyerek insanların yaşam alanlarında bulunmaktadır. Dieffenbachia, yaşam alanı olan evlerde süs amacıyla yaygın olarak kullanılmaktadır, ancak temas edilmesi, çiğnenmesi ya da yutulması sonucunda insan sağlığına zarar verebilen bir bitki türüdür. Bu çalışmanın amacı, evlerde sıklıkla süs amacıyla kullanılan Dieffenbachia bitkisinin, özellikle çocukların maruz kaldığı ev kazalarındaki rolü ve kötüye kullanım ihtimaline karşı araştırmacıların dikkatini çekmektir. Bu sebeple literatürde bulunan Dieffenbachia zehirlenmesi olguları kaynaklar çerçevesinde tartışılmıştır. Literatür taranarak elde edilen 1-3 yaş arası üç vaka, 7-12 yaş arası 3 vaka ve 69 yaş bir yetişkin vakası olmak üzere toplam 7 olgu ele alınmıştır. Dieffenbachia bitkisi, temas şekli ve maruz kalma miktarına bağlı olarak hafif cilt reaksiyonlarının yanı sıra havayolu tıkanıklığı ve solunum yetmezliğine kadar giden hayati bulgulara neden olabilmektedir. Evler, çocuk oyun alanları ve diğer yeşil alan düzenlemelerinde Dieffenbachia ve benzer özellikteki bitkilerin kullanımı konusunda dikkatli olunmalı ve gerekli tedbirler alınmalıdır.

Anahtar Kelimeler

Dieffenbachia, zehirli bitkiler, çocuk zehirlenmeleri

Kaynakça

• Adhikari KM (2012). Poisoning due to accidental ingestion of Dieffenbachia plant (Dumb Cane). Indian Pediatrics 49: 247-248.
• Akça H, Polat E, Tuygun N, Gürcan Kaya N, Karacan CD (2014). Hazard at home: Dieffenbachia. Journal of Academic Emergency Medicine 5: 107-109.
• Akpınar M, Müslehiddinoğlu M, Özcan M, Sarıcı SÜ (2016). Herbal hazard: Dieffenbachia. Journal of Child Health and Illness 59: 21-23.
• Balabanlı C, Albayrak S, Türk M, Yüksel O (2006). Some toxic plants growing in rangelands of Turkey and their effects on animals. Süleyman Demirel Üniversitesi Orman Fakültesi Dergisi A(2): 89-96.
• Barnes BA, Fox LE (1955). Poisoning with “Dieffenbachia”. Journal of the History of Medicine and Allied Sciences 10: 173-181.
• Cote GG (2009). Diversity and distribution of idioblasts producing calcium oxalate crystals in Dieffenbachia seguine (Araceae). American Journal of Botany 96(7): 1245-1254.
• Cumpston KL, Vogel SN, Leikin JB, Erickson TB (2003). Acute airway compromise after brief exposure to a Dieffenbachia plant. The Journal of Emergency Medicine 25(4): 391–397.
• Dip EC, Pereira NA, Fernandes PD (2004). Ability of eugenol to reduce tongue edema induced by Dieffenbachia picta Schott in mice. Toxicon 43(6): 729-735.
• Faydaoğlu E, Sürücüoğlu MS (2013). Medical and aromatic plants’ antimicrobial, antioxidant activities and use opportunities. EÜFBED - Fen Bilimleri Enstitüsü Dergisi 6(2): 233-265.
• Fochtman FW, Manno JE, Winek CL, Cooper JA (1969). Toxicity of the genus Dieffenbachia. Toxicology and Applied Pharmacology 15(1): 38-40.
• Gardner DG (1994). Injury to the oral mucous membranes caused by the common houseplant, Dieffenbachia: A review. Oral Surgery, Oral Medicine, Oral Pathology 78(5): 631-633.
• Gül V (2014). A general view to medicinal and aromatic plants belonging to rize province. Iğdır Univ. J. Inst. Science and Technology 4(4): 97-107.
• Hsueh KF, Lin PY, Lee SM, Hsieh CF (2004). Ocular injuries from plant sap of genera Euphorbia and Dieffenbachia. Journal of Chinese Medicine Assoc 67: 93-98.
• Loretti AP, da Silva Ilha MR, Ribeiro RE (2003). Accidental fatal poisoning of a dog by Dieffenbachia picta (dumb cane). Veterinary and Human Toxicology 45(5): 233-239.
• Müller N, Glaus T, Gardelle O (1998). Extensive stomach ulcers due to Dieffenbachia intoxication in a cat. Tierarztl Prax ausg K Kleintiere heimtiere 26: 404-407.
• Özbek H (2005). Phytotherapy and its use in sexual and gynecological disorders. Van Medical Journal 12(2): 170-174.
• Peterson K, Beymer J, Rudloff E, O’Brien M (2009). Airway obstruction in a dog after Dieffenbachia ingestion. Journal of Veterinary Emergency and Critical Care (San Antonio) 19(6): 635-639.
• Porsuk AÖ, Cerit Ç, Dönmez A (2014). Dieffenbachia poisoning case. Proceedings of 17th National Public Health Congress, Edirne 2014. Pp. 710-711.
• Sıcak Y, Çolak ÖF, İlhan V, Sevindik E, Alkan N (2013). Some medicinal and aromatic plants used commonly among the public in köyceğiz region. Journal of Anatolian Natural Sciences 4(2): 70-77.
• Sinajdaufa, J., Mixa, V., Rygl M., Vyhnanek, M., Moravek, J. ve Kabelka, Z.,2005. Aortoesophageal fistula-an unusual complication of esophagitis caused by Dieffenbachia ingestion. Journal of Pediatric Surgery 40: 29-31.
• Şişmanlar T, Onganla, YH, Derinöz O, Kula S, Kanbur SM, Vurallı D (2010). GREEN dangers at home: ‘’Dieffenbachia Intoxicatıion’’. Gazi Medical Journal 21(1): 51-52.
• T.C. Sağlık Bakanlığı (2007). Bitkilerle Zehirlenmeleri. In: Tunçok Y, Kalyoncu NI (ed.) Birinci basamağa yönelik zehirlenmeler tanı ve tedavi rehberleri 2007. Pp: 171-184.
• Yılmaz H, Akpınar E, Yılmaz H (2006). Toxicological characteristics of some ornamental plants used in landscape architecture. Süleyman Demirel University Journal of Forestry Faculty A(1): 82-95.
• Yılmaz H, Akpınar E, Irmak MA, Yılmaz H (2007). Toxicological properties of ornamental plants used in living areas and the public's concern. Proceedings of TMMOB 3rd Landscape Architecture Congress, Antalya 2007. Pp: 561-572.