Al-Tamimi Faisal A, Hegazi Ahmad E M
Department of Medicine, Nizwa Hospital, Nizwa, Sultanate of Oman.
Sultan Qaboos Univ Med J. 2008 Mar;8(1):83-7.
Castor beans, sometimes used in traditional therapies, contain ricin one of the most toxic substances known. It may cause an acute and potentially fatal gastroenteritis in addition to neurological and ophthalmological lesions. Poisoning may also lead to delayed visceral damages; however, the latter is quite rare. The toxicity is dose related and depends on the amount of castor beans ingested. There is no specific treatment and symptomatic management to reduce the load of the toxin needs to be initiated quickly and early when a case of poisoning is suspected so that serious complications will be avoided. Increasing the awareness of the population to the dangers of ricin would be a way to avoid the utilisation of castor seeds in traditional therapies. Here we are reporting a case of mild poisoning after ingestion of a single castor bean. The patient, who presented at Nizwa Hospital, Oman, fortunately recovered completely as the ingested dose was quite small.
蓖麻子有时用于传统疗法,其含有蓖麻毒素,这是已知的最有毒物质之一。除了神经和眼科病变外,它还可能导致急性且可能致命的肠胃炎。中毒也可能导致延迟性内脏损伤;然而,后者相当罕见。毒性与剂量相关,取决于摄入的蓖麻子数量。没有特效治疗方法,当怀疑中毒时,需要尽早迅速开始对症处理以减轻毒素负荷,从而避免严重并发症。提高公众对蓖麻毒素危险性的认识将是避免在传统疗法中使用蓖麻籽的一种方法。在此我们报告一例因误食一粒蓖麻子导致轻度中毒的病例。该患者在阿曼尼兹瓦医院就诊,幸运的是由于摄入剂量很小,患者已完全康复。