Ichibayashi Ryo, Sato Takanobu, Ohashi Ryogo, Konishi Katsuya
Department of Internal Medicine, Division of Emergency Medicine, Sakura Medical Center, Toho University, Sakura, JPN.
Department of Dermatology, Sakura Medical Center, Toho University, Sakura, Sakura, JPN.
Cureus. 2024 Oct 19;16(10):e71840. doi: 10.7759/cureus.71840. eCollection 2024 Oct.
Nutmeg is a commonly used spice that contains myristicin, a compound with anticholinergic and psychoactive properties. Excessive consumption can lead to toxicity, causing psychiatric and anticholinergic symptoms such as tachycardia, dizziness, dry mouth, tremors, and nausea. Nutmeg poisoning is rare and not widely recognized. This report describes the case of a 33-year-old woman who accidentally ingested a toxic amount of nutmeg while cooking. She presented with symptoms of dry mouth, tremors, dizziness, and anxiety and was subsequently diagnosed with nutmeg poisoning. Blood tests revealed electrolyte abnormalities, while cardiac function and respiratory status were normal. The patient was treated with fluid restriction and symptomatic management, with symptoms resolving within 24 hours. This case highlights the need for greater awareness of nutmeg's toxic effects and the importance of recognizing its symptoms and providing appropriate treatment. Nutmeg can pose significant health risks if consumed excessively despite its widespread availability. Education and prevention measures are crucial to avoid complications, including electrolyte abnormalities. Healthcare providers should consider nutmeg poisoning in differential diagnoses involving anticholinergic and sympathomimetic symptoms, as early recognition and management are essential to patient recovery.
肉豆蔻是一种常用香料,含有肉豆蔻醚,这是一种具有抗胆碱能和精神活性的化合物。过量食用会导致中毒,引发精神症状和抗胆碱能症状,如心动过速、头晕、口干、震颤和恶心。肉豆蔻中毒较为罕见,且未得到广泛认知。本报告描述了一名33岁女性在烹饪时意外摄入有毒剂量肉豆蔻的病例。她出现了口干、震颤、头晕和焦虑症状,随后被诊断为肉豆蔻中毒。血液检查显示电解质异常,而心脏功能和呼吸状况正常。患者接受了限液和对症治疗,症状在24小时内缓解。该病例凸显了提高对肉豆蔻毒性影响认识的必要性,以及识别其症状并提供适当治疗的重要性。尽管肉豆蔻随处可得,但过量食用会带来重大健康风险。教育和预防措施对于避免并发症(包括电解质异常)至关重要。在涉及抗胆碱能和拟交感神经症状的鉴别诊断中,医疗保健提供者应考虑肉豆蔻中毒,因为早期识别和处理对患者康复至关重要。