Piccillo G A, Miele L, Mondati E, Moro P A, Musco A, Forgione A, Gasbarrini G, Grieco A
Division of Emergency Medicine,Cannizzaro Hospital, Catania, Italy.
Int J Clin Pract. 2006 Apr;60(4):492-4. doi: 10.1111/j.1368-5031.2006.00864.x.
We describe a case of Mandragora autumnalis poisoning which occurred in a 72-year-old female patient who had eaten the venenous M. Autumnalis, picked near her home, mistaking it for the edible Borago Officinalis. M. Autumnalis is a solanaceous plant, common in the Sicilian countryside, which contains a variable concentration of solanum alkaloids, causing gastrointestinal irritation, and tropane alkaloids, with anticholinergic properties. Unluckily, M. Autumnalis is often mistaken for the edible B. Officinalis, likewise widespread in Sicilian countryside. The diagnosis of Mandragora poisoning was made on the basis of clinical symptoms and signs of anticholinergic syndrome associated with a history of vegetable meal of uncontrolled origin, moreover analysing the vegetable obtained from gastric lavage. Decontamination and symptomatic treatment were useful in our patient to control acute poisoning.
我们描述了一例曼陀罗中毒病例，患者为一名72岁女性，她误食了在家附近采摘的有毒曼陀罗，误将其认作可食用的琉璃苣。曼陀罗是一种茄科植物，在西西里乡村很常见，它含有浓度不一的茄属生物碱，可引起胃肠道刺激，还含有具有抗胆碱能特性的托烷生物碱。不幸的是，曼陀罗常被误认作同样在西西里乡村广泛分布的可食用琉璃苣。根据抗胆碱能综合征的临床症状和体征，结合来源不明的蔬菜进食史，并对洗胃所得蔬菜进行分析，做出了曼陀罗中毒的诊断。对我们的患者进行去污和对症治疗有助于控制急性中毒。
