J Korean Soc Emerg Med.  1998 Jun;9(2):336-340.

Two cases of Anticholinergic Toxicity After Jimson weed Ingestion

• Ryoo JH
• So JI
• Kim YK
• Park JK
• Kim SG
• Yoon HD
• Heo T
• Min YI

Abstract

Jimson weed, also known as Datura stramonium, is a member of the Solanaceae family. Jimson weed was used by American Indians for medicinal and religious purposes. All parts of the Jimson weed plant are poisons, containing the alkaloids atropine, hyoscyamine and scopolamine. So, it is caused by these components to make a anticholinergic toxicity within 6h after ingestion. Initial manifestations include dry mucus membrane, blurred, vision, thirst, difficulty swallowing and speaking, and photophobia, and may be followed by hyperthermia, confusion, agitation, combative behavior, hallucination, urinary retention, seizure and coma. We experienced two patients who developed combative behavior and agitation with pupil dilation caused by Jimson weed. They discharged with improvement after supportive for 2days.

MeSH Terms

Alkaloids
Atropine
Coma
Datura stramonium*
Deglutition
Dihydroergotamine
Eating*
Fever
Hallucinations
Humans
Hyoscyamine
Indians, North American
Membranes
Mucus
Photophobia
Plants
Poisons
Pupil
Scopolamine Hydrobromide
Seizures
Solanaceae
Thirst
Urinary Retention
Alkaloids
Atropine
Dihydroergotamine
Poisons
Scopolamine Hydrobromide