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一家人的曼陀罗中毒事件——身份误认的故事

Datura Poisoning in a Family - A Tale of Mistaken Identity.

作者信息

Senthil Sunandha, Ravichandran Umarani

机构信息

Department of General Medicine, Rajah Muthiah Medical College Hospital, Chidambaram, India.

出版信息

Curr Health Sci J. 2020 Jul-Sep;46(3):305-308. doi: 10.12865/CHSJ.46.03.14. Epub 2020 Sep 30.

Abstract

Numerous plants are traditionally grown in kitchen gardens and consumed by the general population. Incidents of accidental ingestion of harmful plants due to their striking resemblance with the edible ones are well-known. Cases: A family of three (a mother and her two children) unintentionally consumed leaves of small plants of Datura stramonium, instead of Solanum nigrum. They were admitted in intensive care unit with anticholinergic symptoms, treated symptomatically and discharged. On probing further, it is understood that both the plants look similar when young. However, it is easy to distinguish between them when the plants are fully grown. Conclusion: It is essential to educate the public regarding proper identification of locally available leafy vegetables that are fit for consumption. Also, clinicians should have a high index of suspicion in such cases of family poisoning even in the absence of a reliable history.

摘要

许多植物传统上种植在家庭菜园中,供普通民众食用。因有害植物与可食用植物长得极为相似而导致意外误食的事件屡见不鲜。病例:一家三口(一位母亲和她的两个孩子)无意间食用了曼陀罗的小植株叶子,而非龙葵。他们因抗胆碱能症状被收治入重症监护病房,接受了对症治疗后出院。进一步调查发现,这两种植物在幼小时看起来很相似。然而,当植株完全长大后,就很容易区分它们了。结论:有必要对公众进行教育,使其能够正确识别当地适合食用的叶菜类蔬菜。此外,即使没有可靠的病史,临床医生在处理此类家庭中毒病例时也应保持高度怀疑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e655/7716765/470672034132/CHSJ-46-03-305-fig1.jpg

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