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Those pesky berries ... are they a source of concern?
Vet Hum Toxicol. 1998 Apr; 40(2):101-3.VH

Abstract

Plant exposures constitute the 4th most common call to poison information centers. Within the plant category, exposures to unidentified berries are common and often create panic in the public and indecisiveness by health professionals. Are exposures to unidentified berries associated with morbidity and mortality? Can these berry exposures be managed at home or do they necessitate medical evaluation? The AAPCC Toxic Exposure Surveillance System was queried to identify exposures with the "unidentified berry" code for a 10-y period. Data parameters included frequency, age, outcome, patient disposition, referral pattern, symptom progression and therapeutic intervention. The data were analyzed using descriptive statistics. Unidentified berry exposures included 11,237 incidents, making it the 11th most common plant-related exposure. Children < 6 y-of-age accounted for 88.5% of the exposures, and 88.5% occurred during June-October. There were no fatalities, and morbidity included 1 major outcome in an infant and 26 exposures with moderate outcomes. In exposures with a known outcome, no effects (86.0%) and minor effects (13.6%) accounted for 99.6% of exposures. When a patient was initially asymptomatic, 89.7% did not develop symptoms and 10.2% progressed to have minor symptoms, accounting for 99.9% of all exposures. Poison centers referred 7.5% to a health care facility. There was no apparent benefit conferred by decontamination therapy. Exposures to unidentified berries represent common inquiries to poison information centers. They are associated with low morbidity and no mortality. If no initial symptoms are present, it is unlikely that the patient will develop clinically relevant effects.

Authors+Show Affiliations

Pittsburg Poison Center, Children's Hospital of Pittsburgh, School of Pharmacy, University of Pittsburgh, PA 15213, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

9554066

Citation

Krenzelok, E P., et al. "Those Pesky Berries ... Are They a Source of Concern?" Veterinary and Human Toxicology, vol. 40, no. 2, 1998, pp. 101-3.
Krenzelok EP, Jacobsen TD, Aronis J. Those pesky berries ... are they a source of concern? Vet Hum Toxicol. 1998;40(2):101-3.
Krenzelok, E. P., Jacobsen, T. D., & Aronis, J. (1998). Those pesky berries ... are they a source of concern? Veterinary and Human Toxicology, 40(2), 101-3.
Krenzelok EP, Jacobsen TD, Aronis J. Those Pesky Berries ... Are They a Source of Concern. Vet Hum Toxicol. 1998;40(2):101-3. PubMed PMID: 9554066.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Those pesky berries ... are they a source of concern? AU - Krenzelok,E P, AU - Jacobsen,T D, AU - Aronis,J, PY - 1998/4/29/pubmed PY - 1998/4/29/medline PY - 1998/4/29/entrez SP - 101 EP - 3 JF - Veterinary and human toxicology JO - Vet Hum Toxicol VL - 40 IS - 2 N2 - Plant exposures constitute the 4th most common call to poison information centers. Within the plant category, exposures to unidentified berries are common and often create panic in the public and indecisiveness by health professionals. Are exposures to unidentified berries associated with morbidity and mortality? Can these berry exposures be managed at home or do they necessitate medical evaluation? The AAPCC Toxic Exposure Surveillance System was queried to identify exposures with the "unidentified berry" code for a 10-y period. Data parameters included frequency, age, outcome, patient disposition, referral pattern, symptom progression and therapeutic intervention. The data were analyzed using descriptive statistics. Unidentified berry exposures included 11,237 incidents, making it the 11th most common plant-related exposure. Children < 6 y-of-age accounted for 88.5% of the exposures, and 88.5% occurred during June-October. There were no fatalities, and morbidity included 1 major outcome in an infant and 26 exposures with moderate outcomes. In exposures with a known outcome, no effects (86.0%) and minor effects (13.6%) accounted for 99.6% of exposures. When a patient was initially asymptomatic, 89.7% did not develop symptoms and 10.2% progressed to have minor symptoms, accounting for 99.9% of all exposures. Poison centers referred 7.5% to a health care facility. There was no apparent benefit conferred by decontamination therapy. Exposures to unidentified berries represent common inquiries to poison information centers. They are associated with low morbidity and no mortality. If no initial symptoms are present, it is unlikely that the patient will develop clinically relevant effects. SN - 0145-6296 UR - https://wwww.unboundmedicine.com/medline/citation/9554066/Those_pesky_berries_____are_they_a_source_of_concern DB - PRIME DP - Unbound Medicine ER -