AI Summary & Key Takeaways
AI InsightWe aimed to describe the case of the patient who was taken to the emergency department with the pre-diagnosis of altered consciousness, agitation, and psychiatric disorder, progressed with the signs of delirium and anticholinergic toxicity, was diagnosed with Datura Stramonium intoxication, was admitted to the intensive care unit after the first treatment, and was discharged with recovery.
📌 3 Key Takeaways
Abstract
Datura Stramonium (DS) is a in our country; it grows wild in rural areas without the need for agriculture. DS can also be used as herbal medicine in respiratory system diseases such as asthma and bronchitis, in hemorrhoids and dermatological diseases such as eczema. It may lead to anticholinergic symptoms such as mydriasis, tachycardia, dry skin, flushing and urinary retention in humans due to its atropine content, and when it affects the central nervous system, it may cause symptoms ranging from restlessness, agitation, hallucination, convulsion to coma and death. We aimed to describe the case of the patient who was taken to the emergency department with the pre-diagnosis of altered consciousness, agitation, and psychiatric disorder, progressed with the signs of delirium and anticholinergic toxicity, was diagnosed with Datura Stramonium intoxication, was admitted to the intensive care unit after the first treatment, and was discharged with recovery.
Özet
Datura Stramonium (DS), ülkemizde kırsal alanlarda herhangi bir tarıma ihtiyaç duymadan yabani olarak yetişir. DS astım- bronşit gibi solunum sistemi hastalıklarında, hemoroidde ve egzema vb. dermatolojik hastalıklarda bitkisel ilaç olarak da kullanılabilmektedir. İçerdiği atropin nedeniyle insanlarda midriazis, taşikardi, kuru cilt, flushing, üriner retansiyon, gibi antikolinerjik semptomlara yol açabilmekte; santral sinir sistemini etkilediğinde ise huzursuzluk,ajitasyon,halusinasyon, konvülziyon dan koma ve ölüme kadar semptomlara neden olabilmektedir. Bizde acil servise bilinç değişikliği, ajitasyon, psikiyatrik rahatsızlık ön tanısı ile getirilen hastanın, deliryum ve antikolinerjik zehirlenme bulguları ile seyretmesi, sonra Datura Stramonium intoksikasyonu tanısı alması, ilk tedavisinin yapıldıktan sonra yoğun bakıma yatırılmasını ve şifa ile taburculuğu içeren olguyu anlatmayı amaçladık.