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Related Experiment Videos

Anticholinergic intoxication with commercially available thorn apple tea

P Coremans1, G Lambrecht, P Schepens

  • 1University of Antwerp, Belgium.

Journal of Toxicology. Clinical Toxicology
|January 1, 1994
PubMed
Summary

Adolescents experienced acute psychosis and anticholinergic symptoms after drinking thorn apple tea. Prompt conservative treatment led to complete recovery from atropine intoxication.

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Area of Science:

  • Toxicology
  • Pharmacology
  • Adolescent Medicine

Background:

  • Anticholinergic toxicity can present with diverse neurological and peripheral symptoms.
  • Datura stramonium (thorn apple) contains potent anticholinergic alkaloids like atropine.
  • Accidental or intentional ingestion ofDatura stramonium poses a risk, particularly in adolescents.

Observation:

  • Two adolescent patients presented with acute psychosis and peripheral anticholinergic signs.
  • Clinical presentation mimicked other psychiatric emergencies but suggested toxicological etiology.
  • Physical examination revealed characteristic peripheral manifestations of anticholinergic toxidrome.

Findings:

  • Diagnosis of atropine intoxication was confirmed.
  • The source of intoxication was identified as tea prepared from Datura stramonium.

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  • Laboratory investigations supported the diagnosis of anticholinergic poisoning.

    • Implications:

    • Highlights the importance of considering toxicological causes in adolescent psychosis.
    • Underscores the dangers of herbal remedies containing toxic alkaloids.
    • Emphasizes the efficacy of conservative management for Datura stramonium intoxication.