Document Detail


A case of water hemlock poisoning.
MedLine Citation:
PMID:  491328     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Water hemlock is a ubiquitous plant that can be mistaken for a turnip as in the case reported. Oral ingestion causes an explosive illness consisting of nausea, vomiting, abdominal cramps, and grand mal seizures that can progress to cyanosis and death. In the reported case a 30-year old man was found semi-comatose some 75 minutes after ingesting a "turnip". The history revealed profuse emesis shortly after eating lunch that changed from bile to frank blood. There was a mean orthostatic blood pressure change of 30 torr, with an increase in the heart rate of 10%. Neurologic examination revealed a lethargic patient. Following administration of 4 liters of Ringer's lactate the patient's blood pressure stabilized and with continued isotonic fluid maintenance he improved rapidly. This case indicates that appropriate management should be directed toward protecting the patient's airway from gastric aspiration, restoring the intravascular and extracellular volume deficit, and controlling cerebral edema.
Authors:
J J Applefeld; E S Caplan
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  JACEP     Volume:  8     ISSN:  0361-1124     ISO Abbreviation:  JACEP     Publication Date:  1979 Oct 
Date Detail:
Created Date:  1979-12-27     Completed Date:  1979-12-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0317011     Medline TA:  JACEP     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  401-3     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Coma / etiology
Humans
Hypotension / etiology
Male
Plant Poisoning / diagnosis*,  therapy
Vomiting / etiology

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