Öz
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.
Anahtar Kelimeler
Anticholinergic toxicity datura stramonium poisoning delirium
Kaynakça
- Montcriol A, Kenane N, Delort G, Asengio Y, Palmier B. Intentional datura stramonium intoxication: an unknown etiology of mydriasis. Ann. Fr. Anesth Reanim. 2007;26: 810-813.
- Bouziri A, Hamdi A, Borgi A, et al. Datura stramonium L. poisoning in a geophagus child:a case report. Int. J. Emerg. Med.2011;4 (1): 31.
- Özkaya AK, Güler E, Karabel N, Namlı AR, Göksügür Y. Datura stramonium poisoning in a child. Turk J Pediatr. 2015;57: 82-84.
- Şanlıdağ B, Derinöz O, Yıldız N. A case of pediatric age anticholinergic intoxication due to accidental datura stramonium ingestion admitting with visual hallucination. Turk J Pediatr. 2014;56(3): 313-315.
- Urich RW, Bowerman DL, Levisky JA, Pflug JL. Datura stramonium: a fatal poisoning. J Forensic Sci. 1982;27(4): 948-954.
- Boumba VA, Mitselou A, Vougiouklakis T. Fatal poisoning from ingestion of Datura stramonium seeds. Vet Hum Toxicol. 2004;46(2): 81-82.
- Vanderhoff BT, Mosser KH. Jimson weed toxicity: management of anticholinergic plant ingestion. Am Fam Physician. 1992;46(2): 526-530.
- Diker D, Markovitz D, Rothman M, Sendovski U. Coma as a presenting sign of Datura stramonium seed tea poisoning. Eur J Intern Med. 2007; 18: 336–338
- Ramirez M, Rivera E, Ereu C. Fifteen cases of atropine poisoning after honey ingestion. Vet Hum Toxicol 1999;41: 19-20.
- Chang SS, Wu ML, Deng JF, Lee CC, Chin TF, Liao SJ. Poisoning by Datura leaves used as edible wild vegetable. Vet Hum Toxicol 1999;41: 242-245.
- Pereira CA, Nishioka Sde D. Poisoning by the use of Datura leaves in a homemade toothpaste. J Toxicol Clin Toxicol 1994;32: 329-331.
- Francis PD, Clarke CF. Angel trumpet lily poisoning in five adolescents: clinical findings and management. J Paediatr Child Health. 1999;35(1): 93-95.
- Rakotomavo F, Andriamasy C, Rasamoelina N, Raveloson N. Datura stramonium intoxication in two children. Pediatr Int. 2014;56(3): 14-16.
Öz
Boru
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
Kaynakça
- Montcriol A, Kenane N, Delort G, Asengio Y, Palmier B. Intentional datura stramonium intoxication: an unknown etiology of mydriasis. Ann. Fr. Anesth Reanim. 2007;26: 810-813.
- Bouziri A, Hamdi A, Borgi A, et al. Datura stramonium L. poisoning in a geophagus child:a case report. Int. J. Emerg. Med.2011;4 (1): 31.
- Özkaya AK, Güler E, Karabel N, Namlı AR, Göksügür Y. Datura stramonium poisoning in a child. Turk J Pediatr. 2015;57: 82-84.
- Şanlıdağ B, Derinöz O, Yıldız N. A case of pediatric age anticholinergic intoxication due to accidental datura stramonium ingestion admitting with visual hallucination. Turk J Pediatr. 2014;56(3): 313-315.
- Urich RW, Bowerman DL, Levisky JA, Pflug JL. Datura stramonium: a fatal poisoning. J Forensic Sci. 1982;27(4): 948-954.
- Boumba VA, Mitselou A, Vougiouklakis T. Fatal poisoning from ingestion of Datura stramonium seeds. Vet Hum Toxicol. 2004;46(2): 81-82.
- Vanderhoff BT, Mosser KH. Jimson weed toxicity: management of anticholinergic plant ingestion. Am Fam Physician. 1992;46(2): 526-530.
- Diker D, Markovitz D, Rothman M, Sendovski U. Coma as a presenting sign of Datura stramonium seed tea poisoning. Eur J Intern Med. 2007; 18: 336–338
- Ramirez M, Rivera E, Ereu C. Fifteen cases of atropine poisoning after honey ingestion. Vet Hum Toxicol 1999;41: 19-20.
- Chang SS, Wu ML, Deng JF, Lee CC, Chin TF, Liao SJ. Poisoning by Datura leaves used as edible wild vegetable. Vet Hum Toxicol 1999;41: 242-245.
- Pereira CA, Nishioka Sde D. Poisoning by the use of Datura leaves in a homemade toothpaste. J Toxicol Clin Toxicol 1994;32: 329-331.
- Francis PD, Clarke CF. Angel trumpet lily poisoning in five adolescents: clinical findings and management. J Paediatr Child Health. 1999;35(1): 93-95.
- Rakotomavo F, Andriamasy C, Rasamoelina N, Raveloson N. Datura stramonium intoxication in two children. Pediatr Int. 2014;56(3): 14-16.
Ayrıntılar
| Konular | Sağlık Kurumları Yönetimi |
|---|---|
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 13 Aralık 2017 |
| Yayımlandığı Sayı | Yıl 2017 Cilt: 48 Sayı: 4 |
