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Vol. 53. Núm. 1.
Páginas 53-55 (julio 2000)
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Vol. 53. Núm. 1.
Páginas 53-55 (julio 2000)
Acceso a texto completo
Intoxicación por Datura stramonium
Datura stramonium poisoning
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23578
L. Castañón López*, J.P. Martínez Badás, S. Lapeña López de Armentia, J. Gómez Mora y, M.L. García Arias
Servicio de Pediatría. Hospital de León
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Datura stramonium es una planta alucinógena, ampliamente distribuida y de fácil accesibilidad, que contiene alcaloides anticolinérgicos tóxicos. Su ingestión, voluntaria o accidental, puede producir enfermedad grave o muerte. La presentación clínica es similar a la intoxicación por atropina. Pueden aparecer signos y síntomas como midriasis, taquicardia, arritmias, agitación, convulsions y coma. El diagnóstico es clínico y el tratamiento debe ser precoz, incluyendo descontaminación gastrointestinal, medidas de soporte y fisostigmina en casos con compromiso vital. El pronóstico habitualmente es favorable.

Palabras clave:
Datura
Intoxicación
Síndrome anticolinérgico
Alucinaciones

Datura stramonium is a hallucinogenic plant, widely distributed and easily accessible, which contains toxic anticholinergic alkaloids. Voluntary or accidental ingestion can produce serious illness or death. The clinical presentation is similar to that seen in cases of atropine poisoning. Signs and symptoms such as mydriasis, tachycardia, arrhythmias, agitation, seizures and coma can appear.Diagnosis is clinical and early treatment should be given, including gastrointestinal decontamination, supportive care and physostigmine in life-threatening cases. Prognosis is usually favorable.

Key words:
Datura
Poisoning
Anticholinergic syndrome
Hallucinations
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Bibliografía
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Atropine intoxication from the ingestion and smoking of Jimson weed.
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Accidental ingestion of Jimson weed by an adolescent.
J Am Osteopath Assoc, 98 (1998), pp. 502-504
Copyright © 2000. Asociación Española de Pediatría
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