Not your everyday anisocoria: angel's trumpet ocular toxicity.
A 12-year-old boy was brought to the emergency department by his parents with new-onset anisocoria. He complained of blurry vision and of his left pupil being larger than the right. His visual acuity was normal and examination revealed a painless left mydriasis. A thorough history and targeted examination yielded the diagnosis of pharmacologic mydriasis caused by ocular exposure to Angel's Trumpet (Datura suaveolens), a plant containing toxic alkaloids with anti-cholinergic properties. The patient and his family were spared expensive and time-consuming tests (e.g., magnetic resonance imaging) or further referral. His symptoms resolved spontaneously in 3 days.
Firestone
Daniel
D
Department of Emergency Medicine, University of California San Diego School of Medicine, San Diego, California, USA.
Sloane
Christian
C
D015875:Anisocoria / Q000139:chemically induced* / Q000175:diagnosis; D002648:Child; D013286:Datura stramonium / Q000506:poisoning*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D010939:Plant Poisoning / Q000175:diagnosis / Q000209:etiology*; D010947:Plants, Toxic / Q000506:poisoning*