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[Unusual use of nutmeg]
Charlotte G Krol1, Martien J F M Janssen
1Rijnland Ziekenhuis, afdeling interne geneeskunde, Leiderdorp, the Netherlands. cgkrol@hotmail.com
Nederlands Tijdschrift Voor Geneeskunde
|September 23, 2010
Summary
A 20-year-old woman experienced adverse effects after consuming 10g of nutmeg, including hypothermia and tachycardia. Symptoms resolved within 48 hours with supportive care, highlighting nutmeg
Area of Science:
- Toxicology
- Psychopharmacology
Background:
- Nutmeg is a common spice with psychoactive properties.
- Recreational use of nutmeg can lead to significant central nervous system effects.
Observation:
- A case of a 20-year-old woman with borderline personality disorder presenting after ingesting 10g of nutmeg.
- The patient reported stomach ache and dizziness, with physical examination revealing mild hypothermia and sinus tachycardia.
Findings:
- Nutmeg ingestion, particularly doses of 10g or more, can induce symptoms such as anxiety, psychosis, dry mouth, nausea, dizziness, hypothermia, and tachycardia.
- These effects are attributed to nutmeg's impact on the central nervous system and typically resolve within 24-48 hours.
Implications:
- This case underscores the potential for severe adverse effects from recreational nutmeg use.
- Awareness of nutmeg's toxicity is crucial for healthcare providers, especially in emergency settings.
- Supportive care is the primary treatment for nutmeg intoxication.
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