Anticholinergic toxicity associated with lupin seed ingestion: case report.
We describe a case of acute poisoning in a 51-year-old female patient who presented to the Emergency Department with weakness, anxiety, dry mouth, bilateral mydriasis and lid drop. In differential diagnosis, botulism, Guillain-Barré syndrome and myasthenia gravis were considered, as well as cerebral haematoma because of a cranial injury a week before. Symptoms, which resolved within 12 h without any therapy, were instead related to the ingestion of lupin seeds.
Di Grande
Aulo
A
Unità Operativa di Medicina e Chirurgia d'Accettazione e d'Urgenza, Azienda Ospedaliera S. Elia, Caltanissetta, Italy. adigrande@yahoo.it
Paradiso
Rosario
R
Amico
Salvatore
S
Fulco
Giovanni
G
Fantauzza
Bruno
B
Noto
Paola
P
D018680:Cholinergic Antagonists / Q000506:poisoning*; D003296:Cooking / Q000592:standards; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D031297:Lupinus / Q000506:poisoning*; D008875:Middle Aged; D015878:Mydriasis / Q000139:chemically induced* / Q000175:diagnosis*; D010945:Plants, Edible / Q000506:poisoning*; D012639:Seeds / Q000506:poisoning*
D018680:Cholinergic Antagonists