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Antimuscarinic intoxication resulting from the ingestion of moonflower seeds.
Ann Pharmacother. 2005 Jan; 39(1):173-6.AP

Abstract

OBJECTIVE

To report a case in which ingestion of moonflower seeds resulted in antimuscarinic intoxication.

CASE SUMMARY

An 18-year-old man was found at a local convenience store hallucinating and incoherent. Upon presentation to the emergency department, his signs and symptoms included tachycardia, confusion, dilated pupils, and dry, flushed, hot skin. He was admitted to the intensive care unit. Hallucinations and symptoms resolved within 36-48 hours after hospitalization. The patient then reported that he had ingested moonflower seeds. He recovered and was released 4 days after admission.

DISCUSSION

Based on the patient's description and clinical presentation, the moonflower seeds were believed to be Datura inoxia. This species of plant is similar to jimson weed, or Datura stramonium. These plants are known to contain high concentrations of anticholinergic substances; ingestion can result in anticholinergic intoxication. Signs and symptoms that commonly occur include hallucinations, tachycardia, dilated pupils, and disorientation. In our patient, use of the Naranjo probability scale indicated a possible relationship between the moonflower seed ingestion and the patient's signs and symptoms.

CONCLUSIONS

Ingestion of the Datura species can result in severe toxicity. Each plant varies in the concentrations of alkaloid substances. For this reason, it is very important for individuals to become educated on the toxicities and potential risks associated with recreational use of these plants.

Authors+Show Affiliations

College of Pharmacy, University of Iowa, Iowa City, IA, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

15572604

Citation

DeFrates, Lynn J., et al. "Antimuscarinic Intoxication Resulting From the Ingestion of Moonflower Seeds." The Annals of Pharmacotherapy, vol. 39, no. 1, 2005, pp. 173-6.
DeFrates LJ, Hoehns JD, Sakornbut EL, et al. Antimuscarinic intoxication resulting from the ingestion of moonflower seeds. Ann Pharmacother. 2005;39(1):173-6.
DeFrates, L. J., Hoehns, J. D., Sakornbut, E. L., Glascock, D. G., & Tew, A. R. (2005). Antimuscarinic intoxication resulting from the ingestion of moonflower seeds. The Annals of Pharmacotherapy, 39(1), 173-6.
DeFrates LJ, et al. Antimuscarinic Intoxication Resulting From the Ingestion of Moonflower Seeds. Ann Pharmacother. 2005;39(1):173-6. PubMed PMID: 15572604.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Antimuscarinic intoxication resulting from the ingestion of moonflower seeds. AU - DeFrates,Lynn J, AU - Hoehns,James D, AU - Sakornbut,Ellen L, AU - Glascock,Daniel G, AU - Tew,Amanda R, Y1 - 2004/11/30/ PY - 2004/12/2/pubmed PY - 2005/3/30/medline PY - 2004/12/2/entrez SP - 173 EP - 6 JF - The Annals of pharmacotherapy JO - Ann Pharmacother VL - 39 IS - 1 N2 - OBJECTIVE: To report a case in which ingestion of moonflower seeds resulted in antimuscarinic intoxication. CASE SUMMARY: An 18-year-old man was found at a local convenience store hallucinating and incoherent. Upon presentation to the emergency department, his signs and symptoms included tachycardia, confusion, dilated pupils, and dry, flushed, hot skin. He was admitted to the intensive care unit. Hallucinations and symptoms resolved within 36-48 hours after hospitalization. The patient then reported that he had ingested moonflower seeds. He recovered and was released 4 days after admission. DISCUSSION: Based on the patient's description and clinical presentation, the moonflower seeds were believed to be Datura inoxia. This species of plant is similar to jimson weed, or Datura stramonium. These plants are known to contain high concentrations of anticholinergic substances; ingestion can result in anticholinergic intoxication. Signs and symptoms that commonly occur include hallucinations, tachycardia, dilated pupils, and disorientation. In our patient, use of the Naranjo probability scale indicated a possible relationship between the moonflower seed ingestion and the patient's signs and symptoms. CONCLUSIONS: Ingestion of the Datura species can result in severe toxicity. Each plant varies in the concentrations of alkaloid substances. For this reason, it is very important for individuals to become educated on the toxicities and potential risks associated with recreational use of these plants. SN - 1060-0280 UR - https://wwww.unboundmedicine.com/medline/citation/15572604/Antimuscarinic_intoxication_resulting_from_the_ingestion_of_moonflower_seeds_ DB - PRIME DP - Unbound Medicine ER -