Progressive Organ Failure After Ingestion of Wild Garlic Juice
| Autor: | Olivier Pantet, Olivier Hugli, Coralie Galland-Decker, Alexia Charmoy, Olivier Spertini, Philippe Jolliet |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Colchicum Multiple Organ Failure 01 natural sciences Gastroenterology Allium Toxicology 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine food Wild garlic Allium ursinum Internal medicine Coagulopathy Medicine Colchicine Ingestion Humans biology business.industry Plant Extracts 010401 analytical chemistry food and beverages 030208 emergency & critical care medicine Middle Aged biology.organism_classification medicine.disease food.food 0104 chemical sciences Colchicum autumnale chemistry Emergency Medicine Female business Rhabdomyolysis |
| Zdroj: | The Journal of emergency medicine. 50(1) |
| ISSN: | 0736-4679 |
| Popis: | Background Wild garlic and related plants are increasingly sought after by fans of natural products. They can be confused with other plants containing colchicine and cause potentially fatal intoxications. Case Report We report a case of accidental poisoning by Colchicum autumnale , which was mistaken for wild garlic ( Allium ursinum ). The patient initially presented with mild gastrointestinal symptoms, but progressed rapidly to agranulocytosis, paraparesis, and delirium before the causative agent was identified. The laboratory tests revealed rhabdomyolysis, coagulopathy, alteration of liver tests, and prerenal azotemia. Botanical examination confirmed the incriminated plant ( Colchicum autumnale ). Serum and urine analysis confirmed the presence of colchicine. The patient required intensive support therapy, and she fully recovered within 8 weeks. Why Should an Emergency Physician Be Aware of This? Colchicine poisoning should be considered in the differential diagnosis of patients presenting with gastroenteritis after ingestion of wild garlic. |
| Databáze: | OpenAIRE |
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