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[Poisonous plants: An ongoing problem].

Authors
  • Martínez Monseny, A1
  • Martínez Sánchez, L2
  • Margarit Soler, A2
  • Trenchs Sainz de la Maza, V2
  • Luaces Cubells, C2
  • 1 Servicio de Urgencias, Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, España. Electronic address: [email protected]
  • 2 Servicio de Urgencias, Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, España.
Type
Published Article
Journal
Anales de Pediatría
Publisher
Elsevier
Publication Date
May 01, 2015
Volume
82
Issue
5
Pages
347–353
Identifiers
DOI: 10.1016/j.anpedi.2014.08.008
PMID: 25304453
Source
Medline
Keywords
Language
Spanish
License
Unknown

Abstract

A medical visit for plant ingestion is rare in the pediatric emergency services but may involve a high toxicity. The botanical toxicology training of health staff is often very limited, and it can be difficult to make a diagnosis or decide on the appropriate treatment. To study the epidemiological and clinical characteristics of poisoning due to plant ingestion in order to increase the knowledge of the health professional. A descriptive retrospective study was conducted on patients seen in a pediatric emergency department after the ingestion of plant substances from January 2008 to December 2012. During the period of study, 18 patients had ingested possible toxic plants. In 14 cases, it was considered to be potentially toxic: broom, oleander, mistletoe, butcher's-broom, and vulgar bean (2), Jerusalem tomato, castor (2), Jimson weed, potus, marijuana, and mushrooms with digestive toxicity (2). Among the potentially toxic cases, the ingestion was accidental in 10 patients, 2 cases were classed as infantile mistreatment, 1 case had recreational intention, and another one suicidal intentions. The ingestion of oleander, castor and Jimson weed had major toxicity. The potential gravity of the ingestion of plant substances and the variety of the exposure mechanism requires the pediatrician to bear in mind this possibility, and to be prepared for its diagnosis and management. Specific preventive information measures need to be designed for the families and for the regulation of toxic plants in playgrounds. Copyright © 2014 Asociación Española de Pediatría. Published by Elsevier España, S.L.U. All rights reserved.

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