A sabbath in the emergency room or a case of anticholinergic toxicity?

We report the case of a 32-year-old Italian man admitted to our emergency room for visual disturbances with blurred vision, anisocoria and temporal headache suddenly occurred in absence of other neurological symptoms. A diagnosis of Datura stramoniuminduced anticholinergic toxicity was done. With ou...

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Bibliographic Details
Published in:	Emergency care journal Vol. 18; no. 1
Main Authors:	Agosti, Antonio, Bricchi, Silvia, Rovati, Francesca, Vancea Opris, Mara, Ponzi, Davide Giulio, Mariani, Francesco, Morelli, Nicola, Magnacavallo, Andrea, Vercelli, Andrea, Poggiali, Erika
Format:	Journal Article
Language:	English
Published:	PAGEPress Publications 29-03-2022
Subjects:	anticholinergic syndrome Anticholinergic toxicity Datura stramonium toxic plants
Online Access:	Get full text
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Summary:	We report the case of a 32-year-old Italian man admitted to our emergency room for visual disturbances with blurred vision, anisocoria and temporal headache suddenly occurred in absence of other neurological symptoms. A diagnosis of Datura stramoniuminduced anticholinergic toxicity was done. With our work, we want to highlight the importance of a meticulous clinical examination, including papillary diameter and reflexes, combined with a detailed history of the patient in the emergency room. Anticholinergic toxicity is a medical emergency. The diagnosis is always clinical, and it can represent a challenge for the emergency clinicians because it can mimic several neurological diseases, including acute stroke and seizures, but early diagnosis is crucial to avoid severe complications and management errors.
ISSN:	1826-9826 2282-2054
DOI:	10.4081/ecj.2022.10292