title: A case of pediatric age anticholinergic intoxication due to accidental Datura stramonium ingestion admitting with visual hallucination.
abstract: Datura stramonium (DS) is a hallucinogenic plant that can produce anticholinergic toxicity because of its significant concentrations of toxic alkaloids, such as atropine, hyoscyamine, and scopolamine. DS grows in both rural and urban areas in Turkey. Clinical findings of toxicity are similar to those of atropine toxicity. DS abuse is common among adolescents because of its hallucinatory effects. However, accidental DS poisoning from contaminated food is very rare. Accidental poisonings are commonly seen among children. Children are more prone to the toxic effects of atropine; ingestion of even a small amount can cause serious central nervous system symptoms. Treatment is supportive; antidote treatment is given rarely. An eight-year-old male with accidental DS poisoning who presented to the Pediatric Emergency Department with aggression, agitation, delirium, and visual hallucinations is reported.
authors.affiliation: Department of Pediatrics, Gazi University Faculty of Medicine, Ankara, Turkey. oderinoz@gazi.edu.tr.
authors.forename: Burçin
authors.initials: B
authors.lastname: Şanlıdağ
authors.forename: Okşan
authors.initials: O
authors.lastname: Derinöz
authors.forename: Nagehan
authors.initials: N
authors.lastname: Yıldız
mesh_terms: D000293:Adolescent; D002648:Child; D018680:Cholinergic Antagonists / Q000506:poisoning*; D003244:Consciousness Disorders / Q000139:chemically induced / Q000175:diagnosis; D013286:Datura stramonium / Q000506:poisoning*; D006212:Hallucinations / Q000139:chemically induced* / Q000175:diagnosis; D006213:Hallucinogens / Q000506:poisoning*; D006801:Humans; D008297:Male; D011595:Psychomotor Agitation / Q000175:diagnosis / Q000209:etiology; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000209:etiology*; D014421:Turkey
chemical_list: D018680:Cholinergic Antagonists; D006213:Hallucinogens