Huang Shu-Tien, Su Yu-Jang, Chien Ding-Kuo, Li Erik Jaushwo, Chang Wen-Han
Department of Emergency Medicine, Mackay Memorial Hospital, Taipei 10449, Taiwan.
Am J Emerg Med. 2009 Feb;27(2):249.e1-2. doi: 10.1016/j.ajem.2008.05.026.
We describe a case of Solanum erianthum poisoning that happened to a 75-year-old man. He ate the S erianthum that he gathered from the countryside, believing that it would be helpful in improving the numbness of his distal limbs. S erianthum is a solanaceous plant that contains a variable concentration of solanum alkaloids, causing gastrointestinal irritation, and tropane alkaloids that have anticholinergic properties producing typical and sometimes severe atropinelike symptoms. The diagnosis of S erianthum poisoning was made based on clinical symptoms and signs of anticholinergic syndrome associated with a history of vegetable meal from countryside and, moreover, on identification of the vegetable obtained from his family. Gastrointestinal decontamination and symptomatic treatment were useful in treatment of acute poisoning.
我们描述了一例发生在一名75岁男性身上的刺天茄中毒病例。他食用了自己从乡下采集的刺天茄，认为这有助于改善其远端肢体麻木的症状。刺天茄是一种茄科植物，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，可产生典型的、有时是严重的类似阿托品的症状。根据与食用乡下蔬菜史相关的抗胆碱能综合征的临床症状和体征，以及从其家人处获得的蔬菜鉴定结果，做出了刺天茄中毒的诊断。胃肠道去污和对症治疗对急性中毒的治疗有效。
