Rakotomavo Falihery, Andriamasy Caroline, Rasamoelina Ndrantoniaina, Raveloson Nasolotsiry
Department of Anesthesia and Intensive Care, Fianarantsoa Teaching Hospital, Fianarantsoa, Madagascar.
Pediatr Int. 2014 Jun;56(3):e14-6. doi: 10.1111/ped.12363.
Datura stramonium is a toxic plant member of the Solanaceae family. Its consumption may result in severe anticholinergic toxicity. We report the intoxication of 5- and 4-year-old brothers with Datura stramonium, which presented in two different manners. The first child presented agitation, hallucination and mydriasis that improved rapidly with benzodiazepine medication. The second presented comatose, mydriasis and Babinski signs. Gastric lavage and activated charcoal administration were performed. The child was intubated and mechanically ventilated until consciousness improvement. Datura stramonium poisoning may be considered by physicians in case of acute onset of decreased consciousness or behaviour trouble associated with anticholinergic signs and symptoms.
曼陀罗是茄科的一种有毒植物。食用它可能会导致严重的抗胆碱能毒性。我们报告了一名5岁和一名4岁兄弟因曼陀罗中毒的病例,他们呈现出两种不同的症状表现。第一个孩子表现为烦躁、幻觉和瞳孔散大,使用苯二氮䓬类药物后迅速好转。第二个孩子表现为昏迷、瞳孔散大及巴宾斯基征。进行了洗胃和给予活性炭治疗。该患儿接受了插管和机械通气,直至意识改善。如果出现意识下降或行为障碍急性发作并伴有抗胆碱能症状和体征,医生应考虑曼陀罗中毒的可能性。