Atropa belladonna intoxication: a case report.
Atropa belladonna is a poisonous plant also called deadly nightshade. Its roots, leaves and fruits contain alkaloids: atropine, hyocyamine and scopolamine. The risk of poisoning in children is important because of possible confusion with other berries. Atropa belladonna acute intoxication is a severe condition, it's should be considered in the presence of anti-cholinergic toxidrome, the differential diagnosis include other plants or psychoactive drugs containing atropine. The treatment is mainly symptomatic including gastrointestinal decontamination with activated charcoal. In severe cases, physostigmine can be used as an antidote. We report the case of 11 year old girl with Atropa belladonna poisoning which was administrated in a therapeutic purpose as a remedy to jaundice. The child presented essentially a central anti-cholinergic syndrome. She was admitted in the intensive care unit, the progression was favorable with symptomatic treatment.
Intensive Care Unit, Mother and Child Hospital, University Hospital Hassan II, Fes, Morrocco.
Mohamed Adnane
MA
Berdai
Smael
S
Labib
Khadija
K
Chetouani
Mustapha
M
Harandou
D001532:Atropa belladonna / Q000502:physiology / Q000506:poisoning*; D001285:Atropine / Q000506:poisoning; D002648:Child; D018680:Cholinergic Antagonists / Q000009:adverse effects / Q000506:poisoning / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007565:Jaundice / Q000150:complications / Q000188:drug therapy; D010939:Plant Poisoning / Q000175:diagnosis* / Q000209:etiology; D010947:Plants, Toxic / Q000506:poisoning
D018680:Cholinergic Antagonists; D001285:Atropine