title: A case of Jatropha multifida poisoning resembling organophosphate intoxication.
abstract: Four siblings presented with vomiting, diarrhea and miosis following ingestion of the plant. This is the first report of miosis as a presenting sign of Jatropha intoxication. The combination of vomiting, diarrhea and miosis resembles the clinical presentation of organophosphate poisoning. This fact warrants the consideration of Jatropha ingestion in the differential diagnosis of organophosphate ingestion. Treatment of Jatropha intoxication is supportive with emphasis on rehydration. Measurement of plasma acetylcholinesterase activity levels, which is normal after Jatropha ingestion and decreased following organophosphate poisoning, may help differentiate between the two.
authors.affiliation: Division of Pediatric Emergency Medicine, Department of Pediatrics, Meir Medical Center, Kfar Saba, Israel. dkoltin@gmail.com
authors.forename: Dror
authors.initials: D
authors.lastname: Koltin
authors.forename: Yosef
authors.initials: Y
authors.lastname: Uziel
authors.forename: Dina
authors.initials: D
authors.lastname: Schneidermann
authors.forename: Shula
authors.initials: S
authors.lastname: Kotzki
authors.forename: Baruch
authors.initials: B
authors.lastname: Wolach
authors.forename: Pinchas
authors.initials: P
authors.lastname: Fainmesser
mesh_terms: D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005440:Fluid Therapy; D006801:Humans; D031286:Jatropha / Q000506:poisoning*; D062025:Organophosphate Poisoning; D011041:Poisoning / Q000175:diagnosis / Q000628:therapy; D016896:Treatment Outcome