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Acute nutmeg intoxication.

M K Abernethy¹, L B Becker

¹Section of Emergency Medicine, University of Chicago Hospitals and Clinics, IL 60637.

The American Journal of Emergency Medicine

|September 1, 1992

Summary

This summary is machine-generated.

Nutmeg abuse can cause anticholinergic toxic episodes with hallucinations and doom. Diagnosis requires considering nutmeg intoxication in acute psychotic breaks when tests are normal.

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Area of Science:

Toxicology
Psychiatry

Background:

Nutmeg (Myristica fragrans) is a common spice with a history of abuse for its psychoactive effects.
Overconsumption can mimic anticholinergic toxicity, presenting with neurological and psychological symptoms.

Observation:

A case of intentional nutmeg intoxication in a young adult college student is presented.
Symptoms included hallucinations, palpitations, and a sense of impending doom.

Findings:

Laboratory tests in nutmeg intoxication are typically unremarkable.
The diagnosis should be suspected in cases of acute psychosis with anticholinergic-like symptoms.

Implications:

Early recognition of nutmeg intoxication is crucial for appropriate patient management.

Supportive care is the mainstay of treatment after ruling out other serious conditions.