A case of rarely seen poisoning in Pediatric Emergency Department: Dieffenbachia ornamental plant.

Yıl 2018, , 179 - 181, 14.05.2018

Muhammet Mesut Nezir Engin

https://doi.org/10.5505/ptd.2018.04578

Öz

Dieffenbachia is a member of the Araceae (Arum) family. Dieffenbachia plant may cause ulceration, oropharyngeal edema, speech difficulty, pain in the mouth, swelling, burning, etc., in the mouth mucus of the chewing gum; as well as severe clinical signs such as respiratory insufficiency due to obstruction in the airway. In this article, a three-year-old child who developed burning and swelling in the mouth after eating half a leaf of dieffenbachia plant was presented and it was emphasized that the ornamental plant commonly used in the home environment could cause poisoning potential in children and it was aimed to discuss the possible side effects.

Keywords:  
İngilizce Kısa Başlık: Dieffenbachia ornamental plant

Anahtar Kelimeler

Dieffenbachia, Ornamental plant, İntoxication, Child

Çocuk Acil Servisine başvuran nadir bir zehirlenme nedeni: Dieffenbachia süs bitkisi

Öz

Dieffenbachia bitkisi Araceae (Arum) familyasının üyesidir. Dieffenbachia
bitkisinin çiğnenmesiyle ağız mukozasında ülserasyon, orofaringeal ödem,
konuşma zorluğu, dudaklarda ağrı, şişlik, yanma görülebileceği gibi; ayrıca
hava yolunda oluşan tıkanıklığa bağlı solunum yetmezliği gibi ciddi klinik
bulgular gelişebilir. Bu yazıda dieffenbachia bitkisinden yarım yaprak yedikten
sonra ağızda yanma ve şişlik gelişen üç yaşındaki çocuk hasta sunularak ev
ortamında sık kullanılan süs bitkisinin çocuklarda zehirlenme potansiyeli
oluşturabileceği vurgulanmak ve oluşabilecek yan etkiler tartışılmak
istenmiştir.

Türkçe Kısa Başlık: Dieffenbachia süs bitkisi

Dieffenbachia is a member of the Araceae (Arum) family. Dieffenbachia plant
may cause ulceration, oropharyngeal edema, speech difficulty, pain in the
mouth, swelling, burning, etc., in the mouth mucus of the chewing gum; as well
as severe clinical signs such as respiratory insufficiency due to obstruction
in the airway. In this article, a three-year-old child who developed burning
and swelling in the mouth after eating half a leaf of dieffenbachia plant was
presented and it was emphasized that the ornamental plant commonly used in the
home environment could cause poisoning potential in children and it was aimed
to discuss the possible side effects.

Keywords: Dieffenbachia,
Ornamental plant, İntoxication, Child
İngilizce Kısa Başlık: Dieffenbachia ornamental plant

Anahtar Kelimeler

Dieffenbachia, Süs bitkisi, Zehirlenme, Çocuk

Kaynakça

• 1) Türkmenoğlu Y, Akşahin BG, Sarıtaş Ü, Yılmaz B, Arat C, Şafak E ve ark. Çocukluk Çağı Zehirlenmelerine Yeniden Bakış. Okmeydanı Tıp Dergisi 2015;31:82-91.
• 2) Bronstein AC, Spyker DA, Cantilena LR Jr, Green J, Rumack BH, Heard SE. 2006 Annual Report of the American Association of Poison Control Centers' National Poison Data System (NPDS). Clin Toxicol (Phila). 2007;45:815-917
• 3) Akça H, Polat E, Tuygun N, Kaya NG, Karacan CD. Evdeki Tehlike: Difenbahya. Jaemcr 2014;5:107-109.
• 4) Engin MMN, Ünal N, Kılıçaslan Ö, Yalçın G, Kocabay K. Çocuk hastada prallethrin zehirlenmesine bağlı gelişen ağır pnömoni olgusu. 14. Çocuk Acil Tıp ve Yoğun Bakım Kongresi; 18-21 Ekim 2017; Sheraton Grand, Adana.
• 5) Akpınar M, Müslehhidinoğlu M, Özcan M, Sarıcı SÜ. Bitkisel bir tehlike: Dieffenbachia. Çocuk Sağlığı ve Hastalıkları Dergisi 2016;59:21-23.
• 6) Örge FH, Örge Y. Evimizdeki gizemli düşman; Dieffenbachia. Türk Oftalmoloji Dergisi. 2011;41:54-56.
• 7) Şişmanlar T, Onganlar YH, Derinöz O, Kula S, Kanbur SM, Vurallı D. Evdeki yesil tehlikeler ‘’difenbahya zehirlenmesi’’. Gazi Med J 2010;21:51-52.
• 8) Dip EC, Pereria NA, Fernandes PD. Ability of eugenol to reduce tongue edema induced by Dieffenbachia picta Schott in mice. Toxicon 2004;43:729-735.
• 9) Arditti J, Rodriguez E. Dieffenbachia: uses, abuses and toxic constituents: a review. J Ethnopharmacol. 1982;5:293-302. 10) Dieffenbachia. https://azbitki.com/dieffenbachia (Erişim tarihi: 07.11.2017).
• 11) Gardner DG. Injury to the oral mucous membranes caused by the common houseplant, dieffenbachia: a review. Oral Surg Oral Med Oral Pathol 1994;78:631-633.
• 12) Cumpston KL, Vogel SN, Leikin JB, Erickson TB. Acute airway compromise after brief exposure to a Dieffenbachia plant. J Emerg Med 2003;25:391-397.
• 13) Sinajdaufa J, Mixa V, Rygl M, et al. Aortoesophageal fistula-an unusual complication of esophagitis caused by Dieffenbachia ingestion. J Pediatr Surg 2005;40:29-31.
• 14) Hsueh KF, Lin PY, Lee SM, Hsieh CF. Ocular injuries from plant sap of genera Euphorbia and Dieffenbachia. J Chin Med Assoc 2004;67:93-98.