Báo cáo hóa học: " Datura stramonium L. poisoning in a geophagous child: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành hóa học dành cho các bạn yêu hóa học tham khảo đề tài: Datura stramonium L. poisoning in a geophagous child: a case report | Bouziri et al. International Journal of Emergency Medicine 2011 4 31 http content 4 1 31 o International Journal of Emergency Medicine a SpringerOpen Journal CASE REPORT Open Access Datura stramonium L. poisoning in a geophagous child a case report Asma Bouziri Asma Hamdi Aida Borgi Sarra Bel Hadj Zohra Fitouri Khaled Menif and Nejla Ben Jaballah Abstract Datura stramonium L. DS is a wild-growing plant widely distributed and easily accessible. It contains a variety of toxic anticholinergic alkaloids such as atropine hyoscamine and scopolamine. Voluntary or accidental ingestion can produce severe anticholinergic poisoning. We report an unusual case of DS intoxication occurring in a geophagous young child after accidental ingestion of the plant. Our case is original because of the young age of the victim and the underlying geophagia facilitating the occurrence of poisoning. Introduction Datura stramonium L DS is a hallucinogenic plant widely found in urban and rural areas. Toxicity from this plant containing tropane alkaloids manifests as a classic anti-cholinergic poisoning 1 2 . Most cases of DS poisoning reported in the literature occurred among teenagers after voluntary ingestion of the plant for its hallucinogenic and euphoric effects 1 3-6 . This report illustrates an unusual case of DS poisoning occurring in a geophagous child after accidental ingestion of the foliage of the plant with earth. Case report A girl was brought to the emergency department by her parents for excitation delirium and hallucinations occurring within the hour following accidental ingestion of DS. She had a medical history of geophagia complicated by iron deficiency anemia which had been treated 6 months ago. The child had the habit of eating earth and she had ingested the foliage of the toxic plant with earth in the presence of her mother during a walk in the fields. On the initial physical examination her vital signs were temperature C .

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