Dietary poisoning with Veratrum album--a report of two cases.

作者: Bernhard Zagler , Anton Zelger , Carmen Salvatore , Christoph Pechlaner , Franco De Giorgi

DOI: 10.1007/S00508-004-0291-X

关键词: Plant PoisoningYellow GentianSinus bradycardiaIngestionMedicinePoison controlBradycardiaNauseaSurgeryVomitingAnesthesia

摘要: Veratrum album is a poisonous plant that can easily be mistaken for the yellow gentian, Gentiana lutea, used in beverages. Two adult men were brought to emergency department six hours after drinking gentian spirit. Each presented with nausea and vomiting, preceded by headache, developed within one hour ingestion, followed diarrhea of patients. Vital signs normal except heart rates 42 45 beats per minute two patients, respectively. Laboratory findings unremarkable. Electrocardiograms revealed sinus bradycardia. Activated charcoal anti-emetics given patients admitted observation toxicity. The further clinical course was uneventful. Heart returned eight admission. Retrospective investigation beverage confirmed V. G. lutea. Patients toxicity following unintentional ingestion should kept under generally recover supportive care.

参考文章(7)
M. D. Thames, Reflex suppression of renin release by ventricular receptors with vagal afferents. American Journal of Physiology-heart and Circulatory Physiology. ,vol. 233, ,(1977) , 10.1152/AJPHEART.1977.233.2.H181
Andrew M. Jaffe, Dale Gephardt, Lin Courtemanche, Poisoning due to ingestion of Veratrum viride (false hellebore). Journal of Emergency Medicine. ,vol. 8, pp. 161- 167 ,(1990) , 10.1016/0736-4679(90)90226-L
P. Carlier, M.-L. Efthymiou, R. Garnier, J. Hoffelt, E. Fournier, Poisoning with Veratrum-containing Sneezing Powders: Human & Experimental Toxicology. ,vol. 2, pp. 321- 325 ,(1983) , 10.1177/096032718300200224
Miran Brvar, Gordana Koželj, Martin Možina, Matjaž Bunc, Acute poisoning with autumn crocus (Colchicum autumnale L.) Wiener Klinische Wochenschrift. ,vol. 116, pp. 205- 208 ,(2004) , 10.1007/BF03040489
G. Quatrehomme, F. Bertrand, C. Chauvet, A. Ollier, Intoxication from Veratrum album Human & Experimental Toxicology. ,vol. 12, pp. 111- 115 ,(1993) , 10.1177/096032719301200203
M Guirguis-Oeschger, R Jaspersen-Schib, L Theus, P J Meier-Abt, B Gossweiler, [Serious plant poisonings in Switzerland 1966-1994. Case analysis from the Swiss Toxicology Information Center]. Schweizerische Medizinische Wochenschrift. ,vol. 126, pp. 1085- 1098 ,(1996)
Savidan A, Garnier R, Hoffelt J, Carlier P, Acute dietary poisoning by white hellebore (Veratrum album L.). Clinical and analytical data. A propos of 5 cases Annales De Medecine Interne. ,vol. 136, pp. 125- 128 ,(1985)