1/17. Angel trumpet lily poisoning in five adolescents: clinical findings and management.OBJECTIVE: To describe clinical features and management of Angel trumpet lily poisoning in adolescents. METHODOLOGY: Case notes of five adolescent males who presented to the emergency department of a teaching hospital were reviewed. RESULTS: All five boys ingested a mixture of coca-cola and a brew prepared by boiling the leaves and flowers of the plant. They presented to the emergency department with various degrees of agitation and confusion and specific clinical signs. All were treated with charcoal and cathartics and discharged after 36 h. CONCLUSIONS: Due to its hallucinogenic effects, abuse of Angel trumpet lily is not uncommon and should be suspected in adolescents presenting with altered mental state and hallucinations in conjunction with other anticholinergic symptoms and signs.- - - - - - - - - - ranking = 1keywords = tea (Clic here for more details about this article) |
2/17. hepatic veno-occlusive disease originating in ecuador.A case of hepatic veno-occlusive disease manifested by massive ascites is described in a 35-year-old female. She had consumed an herbal tea containing a crotalaria plant species for 6 months prior to evaluation. Inferior vena cava and hepatic veins were patent by angiography. Liver biopsy showed histological changes typical of hepatic veno-occlusive disease, consisting of centrilobular congestion and sublobular hepatic vein obstruction. Complete clinical, biochemical, and histological recovery was documented 1 year after ingestion of the brew was discontinued. This is the first case known to be reported from ecuador and the first to be diagnosed in the united states.- - - - - - - - - - ranking = 1keywords = tea (Clic here for more details about this article) |
3/17. Intoxication with foothill camas (zigadenus paniculatus).Eight adults ingested foothill camas (zigadenus paniculatus) bulbs in Juab County, utah, believing them to be nontoxic wild bulbs. All who ingested the bulbs became ill, and three of them required admission for supportive care. All patients had nausea; other findings included vomiting, abdominal pain, dizziness, near syncope, hypotension, and bradycardia. No specific antidote is available for intoxication with zigadenus species. Supportive care is indicated and atropine may benefit those with sympytomatic bradycardia and hypotension.- - - - - - - - - - ranking = 0.27214304513844keywords = wild (Clic here for more details about this article) |
4/17. Accidental poisoning with autumn crocus.We describe a case of a 43-yr-old female with severe multiorgan injury after accidental poisoning with colchicum autumnale, which was mistaken for wild garlic (allium ursinum). Both plants grow on damp meadows and can be confused in the spring when both plants have leaves but no blossoms. The autumn crocus contains colchicine, which inhibits cellular division. Treatment consisted of supportive care, antibiotic therapy, and granulocyte-directed growth factor. The patient was discharged from the hospital after three weeks. Three years after recovery from the acute poisoning, the patient continued to complain of muscle weakness and intermittent episodes of hair loss.- - - - - - - - - - ranking = 0.27214304513844keywords = wild (Clic here for more details about this article) |
5/17. Acute poisoning with autumn crocus (colchicum autumnale L.).INTRODUCTION: colchicum autumnale, commonly known as the autumn crocus or meadow saffron, contains the antimitotic colchicine, which binds to tubulin and prevents it forming microtubules that are part of the cytoskeleton in all cells. CASE REPORT: A 71-year-old woman ate a plant she thought to be wild garlic (allium ursinum). Ten hours later she arrived at the emergency department complaining of nausea, vomiting and watery diarrhea. Ingestion of a poisonous plant was suspected and she was treated with gastric lavage, oral activated charcoal and an infusion of normal saline. toxicology analysis with gas chromatography and mass spectrometry revealed colchicine in the patient's gastric lavage, blood (5 microg/l) and urine (30 microg/l). She developed arrhythmias, liver failure, pancreatitis, ileus, and bone marrow suppression with pancytopenia. alopecia began in the third week. Treatment was supportive only. Five months later she had no clinical or laboratory signs of poisoning. DISCUSSION: The patient mistakenly ingested autumn crocus instead of wild garlic because of their great similarity. colchicine primarily blocks mitosis in tissues with rapid cell turnover; this results in gastroenterocolitis in the first phase of colchicine poisoning, bone marrow hypoplasia with pancytopenia in the second and alopecia in the third, all of which were present in our patient. colchicine toxicity in tissues without rapid cell turnover caused arrhythmias, acute liver failure and pancreatitis. CONCLUSION: colchicine poisoning can result in gastroenterocolitis followed by multi-organ dysfunction syndrome. In unexplained gastroenterocolitis after ingestion of wild plants as a salad or spice, especially when wild garlic is mentioned, we should always consider autumn crocus. diagnosis could be confirmed only by toxicology analyses. Management of colchicine poisoning is restricted to supportive therapy.- - - - - - - - - - ranking = 2.0885721805538keywords = tea, wild (Clic here for more details about this article) |
6/17. Dietary poisoning with veratrum album--a report of two cases.veratrum album is a poisonous plant that can easily be mistaken for the yellow gentian, gentiana lutea, used in beverages. Two adult men were brought to the emergency department six hours after drinking gentian spirit. Each presented with nausea and vomiting, preceded by headache, developed within one hour after ingestion, and followed by diarrhea in one of the patients. vital signs were normal except for heart rates of 42 and 45 beats per minute in the two patients, respectively. Laboratory findings were unremarkable. Electrocardiograms revealed sinus bradycardia. Activated charcoal and antiemetics were given and the patients were admitted for observation of signs of toxicity. The further clinical course was uneventful. heart rates returned to normal within eight hours after admission. Retrospective investigation of the gentian beverage confirmed that V. album was mistaken for G. lutea. patients with clinical toxicity following unintentional ingestion of V. album should be kept under observation and generally recover with supportive care.- - - - - - - - - - ranking = 2keywords = tea (Clic here for more details about this article) |
7/17. Mystery root ingestion.patients frequently come to the emergency department or contact a poison center following exposure to plants. These cases are often challenging owing to difficulty in correct identification of the involved plant. A case of two patients who demonstrated anticholinergic syndromes after ingesting an unknown, wild plant is described. Chemical analysis of two suspect plants collected in the same location allowed a probable diagnosis of poisoning from ingestion of henbane (hyoscyamus niger).- - - - - - - - - - ranking = 0.27214304513844keywords = wild (Clic here for more details about this article) |
8/17. hemlock water dropwort poisoning.Severe plant poisoning is relatively uncommon in adults. We report two adults who ingested hemlock water dropwort roots, having mistaken them for wild parsnip. One developed prolonged convulsions, severe metabolic acidosis and respiratory distress requiring mechanical ventilation. The toxin--oenanthotoxin--was detected in the gastric aspirate and measured by high performance liquid chromatography.- - - - - - - - - - ranking = 0.27214304513844keywords = wild (Clic here for more details about this article) |
9/17. Herbal tea induced hepatic veno-occlusive disease: quantification of toxic alkaloid exposure in adults.Four young Chinese women took daily doses of an unidentified 'Indian' herbal tea as treatment for psoriasis. Three (one of whom died), developed ascites, hepatomegaly and biochemical abnormalities within 19-45 days. The fourth patient discontinued herbal tea after 21 days when she developed a skin rash. Two patients had portal hypertension, while all had liver histology showing features of veno-occlusive disease. pyrrolizidine alkaloids were identified spectrophotometrically in the brewed tea, and in the chopped leaves of the herbal mixture; the mean dose in the tea prepared for consumption being 12 mg/day of alkaloid base and 18 mg/day of N-oxide. The mean cumulative dose of alkaloids (base N-oxide) before onset of symptoms (three patients), was estimated to be 18 mg/kg. In the asymptomatic patient with histological liver disease only, the corresponding dose was 15 mg/kg. These cases thus provide some measure of pyrrolizidine alkaloid toxicity in adults.- - - - - - - - - - ranking = 8keywords = tea (Clic here for more details about this article) |
10/17. Oleander tea: herbal draught of death.A woman died after drinking herbal tea prepared from oleander (nerium oleander) leaves. This case demonstrates the cross-reactivity between the cardiac glycosides in oleander and the digoxin radioimmunoassay. digoxin-specific Fab antibody fragments have not been used in oleander poisoning, but these might prove to be lifesaving. Treatment of oleander toxicity is aimed at controlling arrhythmias and hyperkalemia; inactivation of the Na-K ATPase pump, however, can make treatment difficult.- - - - - - - - - - ranking = 5keywords = tea (Clic here for more details about this article) |
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