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曼陀罗种子摄入导致一名3岁埃塞俄比亚幼儿意外中毒:病例报告。

Datura stramonium seed ingestion leading to unintentional poisoning in a 3-year-old Ethiopian toddler: case report.

作者信息

Shifa Desalegn Mechal, Leyew Aynalem Yemane, Jufar Meron Tebeka

机构信息

Department of Paediatrics and Child Health, College of Health science, Arba Minch University, Arba Minch, Ethiopia.

出版信息

Int J Emerg Med. 2024 Oct 30;17(1):165. doi: 10.1186/s12245-024-00753-8.

Abstract

INTRODUCTION

Datura stramonium poisoning, resulting from the ingestion of seeds, leaves, or flowers of Datura stramonium, is a severe condition with significant risks, particularly for young children. Most documented cases of Datura stramonium poisoning in the literature involve teenagers who intentionally ingest the plant to induce hallucinogenic and euphoric experiences. This report presents a rare instance of unintentional Datura stramonium poisoning in a 3year-old Ethiopian toddler.

CASE PRESENTATION

He presented with symptoms consistent with anticholinergic toxidrome, including altered mental status, agitation, seizures, dilated pupils, and tachycardia. Laboratory tests, including complete blood count, liver function test, renal function test, electrolyte levels and cerebrospinal fluid analysis were normal. Results of blood toxicology screen were negative. Timely recognition and supportive care lead to a positive outcome.

CONCLUSION

Through this report, we aim to add to the limited body of literature on Datura stramonium poisoning in toddlers and offer insights into its clinical course and management in paediatric patients.

摘要

引言

曼陀罗中毒是由于摄入曼陀罗的种子、叶子或花朵所致,病情严重,风险极大,对幼儿尤其如此。文献中记载的大多数曼陀罗中毒病例涉及青少年,他们故意食用该植物以诱发幻觉和欣快感。本报告介绍了一名3岁埃塞俄比亚幼儿意外曼陀罗中毒的罕见病例。

病例介绍

他出现了与抗胆碱能中毒综合征相符的症状,包括精神状态改变、烦躁不安、癫痫发作、瞳孔散大及心动过速。实验室检查,包括全血细胞计数、肝功能检查、肾功能检查、电解质水平及脑脊液分析均正常。血液毒理学筛查结果为阴性。及时识别并给予支持性治疗取得了良好效果。

结论

通过本报告,我们旨在补充关于幼儿曼陀罗中毒的有限文献,并提供对儿科患者临床病程及管理的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfc5/11523858/93fcdf3cae8b/12245_2024_753_Fig1_HTML.jpg

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