Delirium Due to Datura stramoniun Ingestion: A Case Report
Muhittin Serkan Yilmaz
Ankara Training and Research Hospital, Emergency Department, Ankara, Turkey
Bahattin Işık
Keçiören Training and Research Hospital, Emergency Department, Ankara, Turkey
Murat Ongar
Ankara Training and Research Hospital, Emergency Department, Ankara, Turkey
Cemil kavalci *
Baskent University, Faculty of Medicine Ankara, Turkey
Alper Gorkem Solakoglu
Ankara Training and Research Hospital, Emergency Department, Ankara, Turkey
Miray Baba
Ankara Training and Research Hospital, Emergency Department, Ankara, Turkey
Gulsum Kavalci
Yenimahalle State Hospital, Anesthesia and Reanimation Department, Ankara, Turkey
Omer Salt
Yozgat State Hospital, Emergency Department, Yozgat, Turkey
*Author to whom correspondence should be addressed.
Abstract
Introduction: Datura stramonium, known as devils apple or tatula by Turkish people. It is a plant known as a member of belladonna alkaloid family contains atropine, hyoscyamine and scopolamine that are having hallucinogenic and anticholinergic effects. In our study we described a case presented by delirium to our emergency department with later diagnosed as Datura stramonium poisoning.
Presentation of Case: 19 years old male patient admitted to our emergency department by his relatives with the complaints of altered mental status, yelling, and meaningless speech. He was conscious at the time of admission but place, time and person orientation was altered with no cooperation. Ten mg midazolam was administrated intravenously to the patient because he was further harm caused by him to himself and environment. After further monitorisation for 8 hours patient were discharged safely.
Discussion and Conclusion: Herbal wealth of Turkey is widespread. Turkish people are traditionally more prone to usage of herbal medicine. Also drug abuse is a growing problem in the country.
Keywords: Datura stramonium, delirium, physostigmine, emergency department