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Nutmeg intoxication in Texas, 1998-2004.

Mathias B Forrester1

  • 1Epidemiology and Disease Surveillance Unit, Texas Department of State Health Services, Austin 78756, USA. mathias.forrester@dshs.state.tx.us

Human & Experimental Toxicology
|December 6, 2005
PubMed
Summary

Nutmeg abuse is a concern, particularly among adolescents and males, according to poison center data. Most cases were managed outside healthcare facilities, with no fatalities reported.

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Area of Science:

  • Toxicology
  • Pharmacology

Background:

  • Nutmeg (Myristica fragrans) contains psychoactive volatile oils.
  • Historically, nutmeg has been misused for its intoxicating effects.

Purpose of the Study:

  • To analyze nutmeg ingestion calls reported to Texas poison centers between 1998 and 2004.
  • To characterize the demographics and outcomes of nutmeg abuse versus non-abuse ingestions.

Main Methods:

  • Retrospective review of poison center data.
  • Analysis of 17 cases of nutmeg ingestion.
  • Comparison of abuse and non-abuse ingestion characteristics.

Main Results:

  • 64.7% of nutmeg ingestions involved intentional abuse.
  • Abuse cases were more prevalent in males (100%) and adolescents (55.6%).
  • Most ingestions, both abuse and non-abuse, were managed outside healthcare settings; no severe outcomes or deaths occurred.

Conclusions:

  • Nutmeg abuse disproportionately affects adolescent males.
  • Outcomes are generally moderate, with most cases managed non-clinically.
  • Continued surveillance of nutmeg abuse is warranted.

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