Progressive Organ Failure After Ingestion of Wild Garlic Juice

Détails

ID Serval
serval:BIB_8ED62DEA3ED3
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Progressive Organ Failure After Ingestion of Wild Garlic Juice
Périodique
Journal of Emergency Medicine
Auteur(s)
Galland-Decker C., Charmoy A., Jolliet P., Spertini O., Hugli O., Pantet O.
ISSN
0736-4679 (Print)
ISSN-L
0736-4679
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
50
Numéro
1
Pages
55-60
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article Publication Status: ppublish
Résumé
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.
Mots-clé
Colchicum/poisoning, Multiple Organ Failure/etiology, Plant Extracts/poisoning
Pubmed
Web of science
Création de la notice
11/10/2016 16:30
Dernière modification de la notice
20/08/2019 15:52
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