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NJBMS - Volume 7, Issue 1, July - September 2016

Pages: 55-59
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POISONING: A DIAGNOSTIC DILEMMA

Author: Sudarshan Bandagar, John Joshy, B.S Dhanasekaran, Ashish

Category: Clinical Sciences

Abstract:

This is an interesting case report of 56 year old gentleman who was brought to emergency room in a delirious, disoriented and agitated state with odour of kerosene and alcohol in his breath. The history made us think in terms of kerosene and alcohol intoxication. Detailed clinical examination and evaluation made suspicious of something more in favour of anti cholinergic poisoning. History from the bystanders confirmed our diagnosis as datura stramonium poisoning.

Datura Stramonium belongs to solanaceae family and the toxicity is due to the presence of toxic alkaloids such as atropine, hyoscynamine and scopolamine, which can present as acute anticholinergic poisoning.

Keywords: Datura Stramonium, anticholinergic poisoning, kerosene