Fikret BİLDİK, Ozan KAHVECİ, Gülbin AYGENCEL, Ayfer KELEŞ, Ahmet DEMİRCAN, Gökhan AKSEL, Erkan TEMİZKAN

Türkiye’den Şifalı Otlar İle İki Zehirlenme Olgusu; Hemoroid Ağrısını Hafifletmek İçin Datura, Afrodizyak Etki İçin Mandragora

Giriş: Bilinç durumunda değişiklik acil serviste sık rastlanan bir sağlık sorunudur. Bu durumun sebepleri arasında antikolinerjik ajanlara bağlı olarak gelişen intoksikasyonlar nadir değildir. Burada acil servisimize antikolinerjik sendrom nedeniyle getirilen iki hasta sunulmuştur. Olgu sunumu: Hastalar şifalı ot tedavisi için Datura stramonium (Olgu 1) ve Mandragora autumnalis (Olgu 2) tükettikten sonraki 4 saat içerisinde ajitasyon, konfüzyon, idrar retansiyonu ve dilate pupil ile acile başvurmuşlardır. Konservatif tedavi sonrası tam şifa ile taburcu olmuşlardır. Sonuç: Acil servis doktorları, hastaneye bilinç durumunda değişiklik nedeniyle başvuran hastalarda, şifalı ot tedavisine bağlı gelişebilen antikolinerjik sendrom tanısını akılda bulundurmalıdır.

Anahtar Kelimeler:

Mandragora autumnalis, Datura stramonium, Şifalı ot zehirlenmesi, Antikolinerjik Sendrom.

Two Herbal Poisoning Cases From Turkey; Datura For Haemorrhoidal Pain Relief, Mandragora For Aphrodisiac Effect

introduction: An altered state of mind is a common medical condition in emergency medicine. Among causes of this situation, toxic etiology due to an anticholinergic agent is not rare. We present two patients who were brought to our emergency department because of anticholinergic syndrome.case report: The patients displayed agitative behaviour, confusion, urinary retention, and dilated pupils within 4 h of ingesting of Datura stramonium (Case 1) and Mandragora autumnalis (Case 2) which have been used as herbal medicines. They were discharged with a complete recovery after receiving conservative therapy.conclusion: Emergency medicine physicians should be mindful of anticholinergic syndrome due to herbal medicine when the patient with a history of altered state of mind is presented to a hospital

Keywords:

Mandragora autumnalis, Datura stramonium, Herbal poisoning, Anticholinergic Syndrome,

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