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Not your everyday anisocoria: angel's trumpet ocular toxicity.
J Emerg Med. 2007 Jul; 33(1):21-4.JE

Abstract

A 12-year-old boy was brought to the emergency department by his parents with new-onset anisocoria. He complained of blurry vision and of his left pupil being larger than the right. His visual acuity was normal and examination revealed a painless left mydriasis. A thorough history and targeted examination yielded the diagnosis of pharmacologic mydriasis caused by ocular exposure to Angel's Trumpet (Datura suaveolens), a plant containing toxic alkaloids with anti-cholinergic properties. The patient and his family were spared expensive and time-consuming tests (e.g., magnetic resonance imaging) or further referral. His symptoms resolved spontaneously in 3 days.

Authors+Show Affiliations

Firestone D
Department of Emergency Medicine, University of California San Diego School of Medicine, San Diego, California, USA.
Sloane C
No affiliation info available

MeSH

AnisocoriaChildDatura stramoniumDiagnosis, DifferentialHumansMalePlant PoisoningPlants, Toxic

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

17630070

Citation

Firestone, Daniel, and Christian Sloane. "Not Your Everyday Anisocoria: Angel's Trumpet Ocular Toxicity." The Journal of Emergency Medicine, vol. 33, no. 1, 2007, pp. 21-4.
Firestone D, Sloane C. Not your everyday anisocoria: angel's trumpet ocular toxicity. J Emerg Med. 2007;33(1):21-4.
Firestone, D., & Sloane, C. (2007). Not your everyday anisocoria: angel's trumpet ocular toxicity. The Journal of Emergency Medicine, 33(1), 21-4.
Firestone D, Sloane C. Not Your Everyday Anisocoria: Angel's Trumpet Ocular Toxicity. J Emerg Med. 2007;33(1):21-4. PubMed PMID: 17630070.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Not your everyday anisocoria: angel's trumpet ocular toxicity. AU - Firestone,Daniel, AU - Sloane,Christian, Y1 - 2007/05/30/ PY - 2006/05/25/received PY - 2006/10/28/revised PY - 2007/02/28/accepted PY - 2007/7/17/pubmed PY - 2007/9/14/medline PY - 2007/7/17/entrez SP - 21 EP - 4 JF - The Journal of emergency medicine JO - J Emerg Med VL - 33 IS - 1 N2 - A 12-year-old boy was brought to the emergency department by his parents with new-onset anisocoria. He complained of blurry vision and of his left pupil being larger than the right. His visual acuity was normal and examination revealed a painless left mydriasis. A thorough history and targeted examination yielded the diagnosis of pharmacologic mydriasis caused by ocular exposure to Angel's Trumpet (Datura suaveolens), a plant containing toxic alkaloids with anti-cholinergic properties. The patient and his family were spared expensive and time-consuming tests (e.g., magnetic resonance imaging) or further referral. His symptoms resolved spontaneously in 3 days. SN - 0736-4679 UR - https://wwww.unboundmedicine.com/medline/citation/17630070/Not_your_everyday_anisocoria:_angel's_trumpet_ocular_toxicity_ DB - PRIME DP - Unbound Medicine ER -