Common toxic plant ingestions
Summary
Definición
Anamnesis y examen
Principales factores de diagnóstico
- tachycardia
- hypertension
- hypotension
- miosis
- mydriasis
- bradycardia
- altered mental state
- hallucinations
- seizures
Otros factores de diagnóstico
- nausea
- vomiting
- abdominal pain
- diarrhea
- dyspnea
- skin flushing
- dermatitis
- dermatologic/mucosal irritation
- visible bleeding: epistaxis, melena, hematuria, hematemesis, hemoptysis
- headache
- chest pain
- muscle pain/swelling
- skin pallor
- easy bruising
- petechial spotting
- jaundice
- asterixis
- ascites
- palmar erythema
- spider angiomata
- diaphoresis
- dry skin
- fever
- urinary retention
- constipation
- hyperventilation
- fasciculations
- neuromuscular weakness
- altered sensation
Factores de riesgo
- foraging for wild plants to eat
- brewing wild plants into tea
- children found or suspected of ingesting plants
Pruebas diagnósticas
Primeras pruebas diagnósticas para solicitar
- ECG
- CBC
- serum electrolytes
- serum creatinine
- serum lactate
- serum BUN/creatinine ratio
- liver function tests
- INR
- ABG
- chest x-ray
Pruebas diagnósticas que deben considerarse
- troponin
- serum digoxin levels
- response to physostigmine
Algoritmo de tratamiento
all patients
Colaboradores
Autores
Susan Smolinske, PharmD, DABAT, FAACT
Clinical Consultant
New Mexico Poison and Drug Information Center
Adjunct Professor
Pharmacy Practice and Administrative Sciences
University of New Mexico
Albuquerque
NM
Divulgaciones
SS is a member of the ToxED advisory board and consults with webPOISONCONTROL.
Cynthia K. Aaron, MD
Medical Director
Program Director Medical Toxicology
Regional Poison Center at Children's Hospital of Michigan
Professor of Emergency Medicine and Pediatrics
Wayne State University School of Medicine
Detroit
MI
Divulgaciones
CKA owns personal stock in Merck. CKA was on the State of Michigan Public Health Advisory Council for 3 years, and consults with RubiconMD.
Agradecimientos
Dr Susan Smolinske and Dr Cynthia K. Aaron would like to gratefully acknowledge Dr Gerald F. O'Malley and Dr Rika N. O'Malley, previous contributors to this topic.
Divulgaciones
GFOM and RNOM declare that they have no competing interests.
Revisores por pares
Jessamine Soderstrom, MD, MBBS, FACEM
Clinical Toxicologist
Emergency Consultant
Emergency Department
Royal Perth Hospital
Perth
Australia
Divulgaciones
JS declares that she has no competing interests.
Scott Phillips, MD
Clinical Faculty
Department of Toxicology
Rocky Mountain Poison & Drug Center
Denver
CO
Divulgaciones
SP declares that he has no competing interests.
Judith Alsop, PharmD, DABAT
Poison Center Director
California Poison Control System, Sacramento Division
University of California Davis Medical Center
Sacramento
Associate Clinical Professor of Pharmacy
University of California San Francisco School of Pharmacy
San Francisco
Clinical Professor of Medicine
Volunteer Clinical Faculty
University of California Davis School of Medicine
Sacramento
CA
Divulgaciones
JA declares that she has no competing interests.
Agradecimiento de los revisores por pares
Los temas de BMJ Best Practice se actualizan de forma continua de acuerdo con los desarrollos en la evidencia y en las guías. Los revisores por pares listados aquí han revisado el contenido al menos una vez durante la historia del tema.
Divulgaciones
Las afiliaciones y divulgaciones de los revisores por pares se refieren al momento de la revisión.
Referencias
Artículos principales
Froberg B, Ibrahim D, Furbee RB. Plant poisoning. Emerg Med Clin North Am. 2007 May;25(2):375-433. Resumen
Gummin DD, Mowry JB, Beuhler MC, et al. 2022 Annual report of the National Poison Data System(®) (NPDS) from America's Poison Centers(®): 40th annual report. Clin Toxicol (Phila). 2023 Oct;61(10):717-939.Texto completo Resumen
Halpern JH. Hallucinogens and dissociative agents naturally growing in the United States. Pharmacol Ther. 2004 May;102(2):131-8. Resumen
Gowdy JM. Stramonium intoxication: review of symptomatology in 212 cases. JAMA. 1972 Aug 7;221(6):585-7. Resumen
Burkhard PR, Burkhardt K, Haenggeli CA, et al. Plant-induced seizures: reappearance of an old problem. J Neurol. 1999 Aug;246(8):667-70. Resumen
Artículos de referencia
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