AI Article Synopsis
- A married couple experienced intoxication after mistakenly eating angel's trumpet roots, believing they were burdock.
- The woman, 71, was found unconscious and diagnosed with acute encephalopathy, while the 68-year-old man exhibited agitation and altered consciousness.
- Symptoms include altered consciousness and mydriasis, making diagnosis challenging; severe cases can lead to convulsions or even death, highlighting the urgency of this neurological emergency.
Article Abstract
We report two cases (a married couple) of intoxication due to angel's trumpet ingestion. Case 1: A 71-year-old woman was found lying unconscious on the sofa at home and was brought to our hospital by ambulance. She showed mydriatic anisocoria, and an intracerebral lesion was suspected. However, the brain magnetic resonance imaging showed no abnormal lesion and acute encephalopathy of unknown cause was diagnosed. Case 2: A 68-year-old man (husband of the patient of Case 1) showed alteration of consciousness with agitation and was admitted to our hospital on the next day. He also had slight mydriasis. As his manifestations were similar to those of his wife, we studied their medical history again. We found that they mistook the roots of angel's trumpet for burdock and cooked and ate them. This intoxication causes characteristic encephalopathy with altered consciousness and mydriasis. In the case of anisocoria or mild mydriasis, the diagnosis is difficult sometimes. The intoxication occurred within a family; this was a clue to the correct diagnosis. Severe cases exhibit pyramidal signs and symptoms or convulsion, and deaths have been reported. Angel's trumpet intoxication is an important neurological emergency.
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| http://dx.doi.org/10.5692/clinicalneurol.cn-001025 | DOI Listing |
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