Analysis of toxic plant and mushroom poisoning in children

Analysis of toxic plant and mushroom poisoning in children

Aim: The aim is to evaluate geographical, sociodemographic, laboratory, clinical features and follow-up and treatment outcomes ofchildren with toxic plant and mushroom poisoning.Material and Methods: From 2015 to 2017, cases aged between 1 month and 18 years and diagnosed with toxic plant and mushroompoisoning were retrospectively evaluated.Results: The mean age of the patients was 6.0±3.2 and the male/female ratio was 2.8. Mushrooms were the most common factorsfor poisoning (36.8%). The average time for application to the health facility was 2.4±1.9 hours. Poisoning was most commonly seenin summer (42.1%) and the most common complaint was vomiting. Most of the family members were primary school graduates.Treatment methods were activated charcoal (53%), activated charcoal and gastric lavage (26%), gastric lavage, activated charcoaland acetyl cysteine (11%) and acetyl cysteine (5%). One patient (5%) was applied followed up. Extracorporeal treatment was appliedto two patients who developed liver and renal failure during treatment and follow-up. During the laboratory comparisons before andafter hospitalization, white blood cell, creatinine kinase, aspartate aminotransferase and alanine aminotransferase levels were foundto be significant (p

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  • 1. Shih RD. Plants, mushrooms, and herbal medications. In: Marx JA, ed. Rosen’s Emergency Medicine: Concepts and Clinical Practice. Vol. 2. 8th ed. Philadelphia: Elsevier Saunders 2014:2066-75.
  • 2. Dokmeci I. Bitkisel Kaynaklı Zehirler. Dökmeci İ, Dökmeci AH, editör. Toksikoloji Zehirlenmelerde Tanı ve Tedavi. 4. Baskı. İstanbul: Nobel Tıp Kitapları; 2005:528-31.
  • 3. Krenzelok EP, Mrvos R. Friends and foes in the plant world: a profile of plant ingestions and fatalities. Clin Toxicol (Phila) 2011;49:142-9.
  • 4. Bronstein AC, Spyker DA, Cantilena LR Jr, et al. 2009 Annual Report of the American Association of Poison Control Centers’ National Poison Data System (NPDS): 27th Annual Report. Clin Toxicol (Phila) 2010;48:979- 1178.
  • 5. Mat A. Les Plantes Vénéneuses En Turquie. Adli Tıp Dergisi 1992;8:121-4.
  • 6. Henderson A, Wright M, Pond SM. Experience with acute overdose patients admitted to an intensive unit over six years. Med J Aust 1993;158:28-30.
  • 7. Schapira K, Linsley KR, Linsley A, et al. Relationship of suicide rates to social factors and availability of lethal methods: comparison of suicide in Newcastle upon 1961-1965 and 1985-1994. Br J Psychiatry 2001; 178:458-64.
  • 8. Ağın H, Çalkavur Ş, Olukman Ö, et al. Childhood Poisoning: Evaluatıon Of Cases In The Last Two Years. Turkiye Klinikleri J Pediatr 2002;11:186-93.
  • 9. Özayar E, Değerli S, Güleç H, et al. Retrospective Analysis of Intoxication Cases in the ICU Turk J Intense Care 2011;3:59-62.
  • 10. Edward P Krenzelok & Rita Mrvos. Friends and foes in the plant world: A profile of plant ingestions and fatalities. Clinical Toxicology 2011;49.
  • 11. Almış H, Karabiber H, Yakıncı C. Plant Related Poisonings in Children: An Evaluation of 23 Cases. J Turgut Ozal Med Cent 2014:21:126-9
  • 12. Jaspersen-Schib R, Theus L, Guirguis-Oeschger M, et al. Serious plant poisonings in Switzerland 1966- 1994. Case analysis from the Swiss Toxicology Information Center. Schweiz Med Wochenschr. 1996; 126:1085-98.
  • 13. Manríquez O, Varas J, Ríos JC, et al. Analysis of 156 cases of plant intoxication received in the Toxicologic Information Center at Catholic University of Chile. Vet Hum Toxicol 2002;44:31-2.
  • 14. Ergür AT, Sütçü İ, Tanzer F. Pediatri servisimizdeki zehirlenme olgularının değerlendirilmesi: 1990-1998. Türkiye Klinikleri Pediatri 1999;8:9-14.
  • 15. Orbak Z, Selimoğlu MA, Alp H. Erzurum bölgesinde çocuklarda zehirlenme vakalarının değerlendirilmesi. Çocuk Sağlığı ve Hastalıkları Dergisi 1996;39:497- 504.
  • 16. Özenir M, Duru N, Elevli M, et al.İlaç Zehirlenmesi Olan Çocuklarda Demografik Özellikler ve Ailesel Etkenlerin Değerlendirilmesi The Medical Bulletin of Haseki 2013;51:157-61
  • 17. Akbay-Öntürk Y, Uçar B. Eskişehir bölgesinde çocukluk çağı zehirlenmelerinin retrospektif değerlendirilmesi. Çocuk Sağlığı ve Hastalıkları Dergisi 2003;46:103-13.
  • 18. Öner N, İnan M, Vatansever Ü, ve ark. Trakya bölgesinde çocuklarda görülen zehirlenmeler. Türk Pediatri Arşivi 2004;39:25-30.
  • 19. Fazen LE, Lovejoy FH, Crone RK. Acute poisoning in a children’s hospital: a 2-year experience. Pediatrics 1986;77:144-51.
  • 20. Litovita TL, Felberg L, Soloway RA, et al. 1994 annual report of the American association of Poison Control Centers National Data collection System. American Journal of Emergency Medicine 1995;13:551.
  • 21. Leray H, Canaud B, Andry C, et al.Amanita proxima poisoning: a new cause of acute renal insufficiency. Nephrologie 1994;15:197-9.
  • 22. Yılmaz HL, Evliyaoğlu N, Pıtırtı M, et al. Yoğun bakım gerektiren zehirlenme olgularının geriye dönük değerlendirilmesi. Doktor 1996;4:327-33.
Annals of Medical Research-Cover
  • Yayın Aralığı: Aylık
  • Yayıncı: İnönü Üniversitesi Tıp Fakültesi
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