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A case of pediatric age anticholinergic intoxication due to accidental Datura stramonium ingestion admitting with visual hallucination.

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TLDR
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.
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. Language: en

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References
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Journal ArticleDOI

Visual Hallucinations: Differential Diagnosis and Treatment

TL;DR: The following questions and answers should serve to frame the differential diagnosis of visual hallucinations and to explore the available options for diagnostic testing and treatment.
Book

Goldfrank's Manual of Toxicologic Emergencies

TL;DR: General Approach to Medical Toxicology: Tools of the Trade The Biochemical, Molecular, and Pathophysiologic Basis of Medical toxicology
Journal ArticleDOI

Deadly nightshade (Atropa belladonna) intoxication: an analysis of 49 children

TL;DR: It was found that meaningless speech, lethargy, and coma were more common, but tachycardia was less common in the severe intoxication group (children with encephalopathy) (P B-0.05), and neostigmine may be used in cases of deadly nightshade intoxication if physostIGmine cannot be available.
Journal ArticleDOI

Teenagers with Jimson weed (Datura stramonium) poisoning.

TL;DR: Jimson weed intoxication should be considered in cases of patients presenting with unexplained peripheral and central anticholinergic symptoms including delirium, agitation and seizures, especially among younger patients and partygoers.
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