Datura stramonium seed ingestion leading to unintentional poisoning in a 3-year-old Ethiopian toddler: case report.

IF 2 Q2 EMERGENCY MEDICINE International Journal of Emergency Medicine Pub Date : 2024-10-30 DOI:10.1186/s12245-024-00753-8

Desalegn Mechal Shifa, Aynalem Yemane Leyew, Meron Tebeka Jufar

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Abstract

Introduction: Datura stramonium poisoning, resulting from the ingestion of seeds, leaves, or flowers of Datura stramonium, is a severe condition with significant risks, particularly for young children. Most documented cases of Datura stramonium poisoning in the literature involve teenagers who intentionally ingest the plant to induce hallucinogenic and euphoric experiences. This report presents a rare instance of unintentional Datura stramonium poisoning in a 3year-old Ethiopian toddler.

Case presentation: He presented with symptoms consistent with anticholinergic toxidrome, including altered mental status, agitation, seizures, dilated pupils, and tachycardia. Laboratory tests, including complete blood count, liver function test, renal function test, electrolyte levels and cerebrospinal fluid analysis were normal. Results of blood toxicology screen were negative. Timely recognition and supportive care lead to a positive outcome.

Conclusion: Through this report, we aim to add to the limited body of literature on Datura stramonium poisoning in toddlers and offer insights into its clinical course and management in paediatric patients.

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一名 3 岁埃塞俄比亚幼儿误食曼陀罗种子导致意外中毒：病例报告。

简介：曼陀罗花中毒是由摄入曼陀罗花的种子、叶子或花引起的，是一种严重的疾病，具有很大的风险，尤其是对幼儿而言。文献中记载的曼陀罗花中毒病例大多涉及青少年，他们故意摄入曼陀罗花以诱发致幻和兴奋体验。本报告介绍了一例罕见的曼陀罗中毒事件，患者是一名 3 岁的埃塞俄比亚幼儿：病例介绍：他出现的症状与抗胆碱能中毒症一致，包括精神状态改变、躁动、抽搐、瞳孔散大和心动过速。实验室检查，包括全血细胞计数、肝功能检查、肾功能检查、电解质水平和脑脊液分析均正常。血液毒理学筛查结果为阴性。及时的识别和支持性护理为患者带来了积极的结果：通过本报告，我们旨在补充有关幼儿曼陀罗中毒的有限文献，并为儿科患者的临床病程和治疗提供见解。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Emergency Medicine EMERGENCY MEDICINE-

CiteScore

4.60

自引率

0.00%

发文量

审稿时长

13 weeks

期刊介绍： The aim of the journal is to bring to light the various clinical advancements and research developments attained over the world and thus help the specialty forge ahead. It is directed towards physicians and medical personnel undergoing training or working within the field of Emergency Medicine. Medical students who are interested in pursuing a career in Emergency Medicine will also benefit from the journal. This is particularly useful for trainees in countries where the specialty is still in its infancy. Disciplines covered will include interesting clinical cases, the latest evidence-based practice and research developments in Emergency medicine including emergency pediatrics.