A sabbath in the emergency room or a case of anticholinergic toxicity?

Emergency Care Journal

Mara Vancea Opris¹  Andrea Vercelli¹  FrancescaRovati¹  Erika Poggiali¹  Antonio Agosti¹  Davide Giulio Ponzi¹  Andrea Magnacavallo¹  Silvia Bricchi¹  Francesco Mariani¹  NicolaMorelli² 

[1]Emergency Department, Guglielmo da Saliceto Hospital, Piacenza

[2]Neurology Unit, Guglielmo da Saliceto Hospital, Piacenza

关键词: Anticholinergic toxicity;    anticholinergic syndrome;    Datura stramonium;    toxic plants;   

DOI  :  10.4081/ecj.2022.10292

来源: DOAJ

【 摘 要 】

We report the case of a 32-year-old Italian man admitted to our emergency room for visual disturbances with blurred vision, anisocoria and temporal headache suddenly occurred in absence of other neurological symptoms. A diagnosis of Datura stramoniuminduced anticholinergic toxicity was done. With our work, we want to highlight the importance of a meticulous clinical examination, including papillary diameter and reflexes, combined with a detailed history of the patient in the emergency room. Anticholinergic toxicity is a medical emergency. The diagnosis is always clinical, and it can represent a challenge for the emergency clinicians because it can mimic several neurological diseases, including acute stroke and seizures, but early diagnosis is crucial to avoid severe complications and management errors.

【 授权许可】

Unknown