Datura Poisoing in a 12 year old leading to anisocoria and m
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
Abstract
A 12 year old boy presented with an acute onset of anisocoria and blurred vision. Ocular motility was normal but his right pupil was dilated, round but sluggishly reactive to light. There was no history of trauma, eye drops' instillation, nebulised drugs or local ointments. His past medical history was negative.
A third nerve palsy was considered but the performed cerebral MRI was normal.
On further anamnestic investigation the boy revealed that he had spent the morning doing gardening, and especially working on a "trumpet plant". Datura and Brugmansia are well known toxic plant; all Datura and Brugmasia plants contain, primarily in their seeds and flowers, tropane alkaloids such as scopolamine, hyoscyamine and atropine. Systemic and local intoxications have already been described.
The day after anisocoria was much less evident and completely resolved in three days.
We present this case of an unusual cause of mydriasis to underline once more the importance of a well and deeply conducted medical history.

Case report
A 12 year old boy presented to the emergency for the onset of acute anisocoria. Two hours before the boy had started to complain of a blurred vision; his mother, a paediatric nurse, noticed a pupil asymmetry with a clearly dilated right pupil (Figure 1). Eyes were normal at wake up and during the early morning; the boy had spent the all morning playing in grandmother's garden. There was no history of trauma, eye drops' instillation, nebulised drugs or local ointments. His past medical history was negative.....

https://ijponline.biomedcentral.com/articles/10.1186/1824-7288-36-50
Preview
Like
Comment
Share