Datura stramonium alımına bağlı antikolinerjik intoksikasyon
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Date
2012-08-22
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Uludağ Üniversitesi
Abstract
Datura stramonium ülkemizde birçok isimle anılmakla birlikte en sık tatula kullanılmaktadır. Bu bitki atropin, hiyosiyamin ve skopolamin içerdiği için, uygunsuz ve bilinçsiz kullanıldığında ciddi antikolinerjik zehirlenmeye neden olabilmektedir. Bu çalışmada Tatula çayı içtikten sonra şuur bulanıklığı, ajitasyon şikayeti ile hastanemize başvuran 69 yaşında erkek hastada görülen antikolinejik zehirlenmeye yaklaşımı literatür eşliğinde sunmak istedik. Sonuç olarak acil servislere açıklanamayan antikolinerjik belirti ve şikayetlerle başvuran her hastada yabani bitki zehirlenmesi düşünülmeli, hasta bu açıdan sorgulanmalı ve değerlendirmelidir.
Datura stramonium mentioned with many different names in our country is commonly known as tatula. This plant including atropine, hyoscyamine and scopolamine can cause serious anticholinergic poisoning after unappropriate and unconsciously usage. In this article, we would like to present an approach, accompanied by literature, to the poisoning case for a-69 year-old man who appealed to the emergency service with the symptoms of conscious disturbance and agitation after drinking Tatula tea. As a result, wild plant poisoning has to be considered in every patient admitted to emergency services with the unexplained anticholinergic symptoms and complaints, every patient should be examined and evaluated accordingly.
Datura stramonium mentioned with many different names in our country is commonly known as tatula. This plant including atropine, hyoscyamine and scopolamine can cause serious anticholinergic poisoning after unappropriate and unconsciously usage. In this article, we would like to present an approach, accompanied by literature, to the poisoning case for a-69 year-old man who appealed to the emergency service with the symptoms of conscious disturbance and agitation after drinking Tatula tea. As a result, wild plant poisoning has to be considered in every patient admitted to emergency services with the unexplained anticholinergic symptoms and complaints, every patient should be examined and evaluated accordingly.
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Keywords
Datura stramonium, Antikolinerjik etki, Zehirlenme, Anticholinergic effects, Poisoning
Citation
Köse, A. vd. (2012). "Datura stramonium alımına bağlı antikolinerjik intoksikasyon". Uludağ Üniversitesi Tıp Fakültesi Dergisi, 38(3), 211-213.