1/5. Accidental poisoning with deadly nightshade berries: a case report.A case of acute accidental poisoning with deadly nightshade (atropa belladonna) berries is reported. The patient was an elderly but healthy man who soon recovered. On the one hand, the clinical picture looked similar to that of delirium tremens; on the other, there were myoclonic jerks and signs of extrapyramidal involvement to suggest the onset of subacute dementia. The electroencephalogram findings confirmed those already reported during experimentally induced intoxication after ingestion of atropine in man.- - - - - - - - - - ranking = 1keywords = belladonna (Clic here for more details about this article) |
2/5. Anticholinergic poisoning associated with herbal tea.An outbreak of cholinergic poisoning occurred in new york city during a 3-day period. Seven individuals from three families of South American origin were affected. signs and symptoms of illness included dry skin, hyperthermia, tachycardia, dilated pupils, agitation, and hallucinations. Onset of illness in all cases was temporally associated with consumption of a tea that was labeled "paraguay tea" and was purchased from a grocery store specializing in South American foods. paraguay tea, made from the leaves of the holly, ilex paraguariensis, contains caffeine and theophylline and is a popular beverage in south america. Samples of the tea analyzed with gas chromatography contained belladonna alkaloids but neither caffeine nor theophylline. An investigation by the new york city Department of health personnel determined that the tea was from a single lot, imported by one distributor, and sold at one grocery store. Unsold inventories of the tea were quarantined, and no further cases of anticholinergic poisoning were reported.- - - - - - - - - - ranking = 1keywords = belladonna (Clic here for more details about this article) |
3/5. Anticholinergic poisoning associated with an herbal tea--new york city, 1994.Inadvertent anticholinergic poisoning can result from consumption of foods contaminated with plants that contain belladonna alkaloids. During March 1994, the new york city Department of Health (NYCDOH) investigated seven cases of anticholinergic poisoning in members of three families; three of the seven ill persons required emergency treatment for characteristic manifestations. For all cases, manifestations occurred within 2 hours after drinking tea made from leaves purchased commercially and labeled as paraguay tea--an herbal tea derived from the plant llex paraguariensis, which is native to south america. This report summarizes the investigation of these cases.- - - - - - - - - - ranking = 1keywords = belladonna (Clic here for more details about this article) |
4/5. plasma and urine concentrations of atropine after the ingestion of cooked deadly nightshade berries.BACKGROUND: adult intoxications due to ingestion of deadly nightshade berries is uncommon. case reports: Collective intoxication of eight persons occurred after accidental ingestion of ripened atropa belladonna berries. Three of the four adults displayed delirious states with visual hallucinations; one patient fell into a coma and required mechanical ventilation. Four children and one adult exhibited mild peripheral anticholinergic symptoms. Kinetic data were obtained on the three hospitalized adults. DISCUSSION: The optimal intensive care for such patients is discussed.- - - - - - - - - - ranking = 1keywords = belladonna (Clic here for more details about this article) |
5/5. Anticholinergic toxicity from nightshade berry poisoning responsive to physostigmine.The woody nightshade, solanum dulcamara, belongs to the genus solanum and its primary toxin is solanine. We report a large nightshade ingestion in a 4-yr-old girl who presented to the emergency department in acute anticholinergic crisis. The child was given 0.2 mg of intravenous physostigmine (0.02 mg/kg). Within 50 min, the patient received two additional equal doses with complete resolution of symptoms. After 36 h of observation, the child was discharged. Our patient presented with symptoms more suggestive of the deadly nightshade species, Atropa belladonna, which is native to europe; however, a detailed laboratory analysis of the suspect berries revealed no atropine or hyoscyamine. Analysis did reveal sterols consistent with solanine. This is a unique case presentation of woody nightshade, S. dulcamara, poisoning presenting with anticholinergic crisis and responding to physostigmine.- - - - - - - - - - ranking = 1keywords = belladonna (Clic here for more details about this article) |