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                      "titulo" => "Intoxication par Datura stramonium&#58; le diagnostic est clinique&#44; le traitement est symptomatique"
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                            2 => "M&#46; Delcoustal"
                            3 => "E&#46; Gaboriau"
                            4 => "J&#46;J&#46; Chavagnat"
                            5 => "G&#46; Morichaud"
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                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Med Interne"
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                        "volumen" => "16"
                        "paginaInicial" => "187"
                        "paginaFinal" => "190"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7740228"
                            "web" => "Medline"
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                      "titulo" => "Datura stramonium&#58; &#194;&#191;un antiguo alucin&#243;geno en auge&#946;"
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                          ]
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                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Med Clin &#40;Barc&#41;"
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                        "paginaInicial" => "715"
                      ]
                    ]
                  ]
                ]
              ]
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                        "tituloSerie" => "Del Med J"
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                      "titulo" => "The dangers of Jimson weed and its abuse by teenagers in the Kanawha Valley of West Virginia"
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                        "paginaFinal" => "1440"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3951075"
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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
Visitas
23575
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
El Texto completo está disponible en PDF
Bibliografía
[1.]
B.T. Vanderhoff, K.H. Mosser.
Jimson weed toxicity: management of anticholinergic plant ingestion.
Am Fam Physician, 46 (1992), pp. 526-530
[2.]
F. Roblot, L. Montaz, M. Delcoustal, E. Gaboriau, J.J. Chavagnat, G. Morichaud.
Intoxication par Datura stramonium: le diagnostic est clinique, le traitement est symptomatique.
Rev Med Interne, 16 (1995), pp. 187-190
[3.]
J.M. Baselga, C. Pigrau, J.M. Martínez-Vázquez.
Datura stramonium: ¿un antiguo alucinógeno en augeβ.
Med Clin (Barc), 84 (1985), pp. 715
[4.]
J. Tiongson, P. Salen.
Mass ingestion of Jimson weed by eleven teenagers.
Del Med J, 70 (1998), pp. 471-476
[5.]
M.S. Dewitt, R. Swain, L.B. Gibson Jr..
The dangers of Jimson weed and its abuse by teenagers in the Kanawha Valley of West Virginia.
W V Med J, 93 (1997), pp. 182-185
[6.]
M.E. Jiménez-Mejías, A. Fernández, M. Montaño-Díaz, M.A. González de la Puente.
Síndrome anticolinérgico por envenenamiento por Datura stramonium.
Med Clin (Barc), 97 (1991), pp. 237
[7.]
From the Centers for Disease Control and Prevention. Jimson weed poisoning-Texas, New York, and California, 1994. MMWR 1995; 44: 41-44
[8.]
D.L. Savitt, J.R. Roberts, E.G. Siegel.
Anisocoria from Jimson weed.
Jama, 255 (1986), pp. 1439-1440
[9.]
M. Strobel, J. Chevalier, B. De Lavarelle.
Coma fébrile avec polynucléose dû à une intoxication par Datura stramonium.
Presse Med, 20 (1991), pp. 2214
[10.]
S. Nogue, L. Pujol, P. Sanz, L. De la Torre.
Identification of tropane alkaloids in urine by gas chromatography-mass spectrometry.
J Int Med Res, 23 (1995), pp. 132-137
[11.]
J.P. Hanna, J.W. Schmidley, W.E. Braselton.
Datura delirium.
Clin Neuropharmacol, 15 (1992), pp. 109-113
[12]
G.C. Rodgers, R.L. Von Kanel.
Conservative treatment of Jimson weed ingestion.
Vet Hum Toxicol, 35 (1993), pp. 32-33
[13.]
S.R. Guharoy, M. Barajas.
Atropine intoxication from the ingestion and smoking of Jimson weed.
Vet Hum Toxicol, 33 (1991), pp. 588-589
[14.]
J.F. Forno Jr., R.A. Terry.
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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