Subject(s)
Banisteriopsis/poisoning , Plant Extracts/poisoning , Plant Poisoning/diagnosis , Adult , Humans , Male , Plant Poisoning/psychologySubject(s)
Anticholinergic Syndrome/etiology , Foodborne Diseases/etiology , Papaveraceae/poisoning , Plant Poisoning/etiology , Plants, Toxic , Anticholinergic Syndrome/diagnosis , Anticholinergic Syndrome/physiopathology , Anticholinergic Syndrome/psychology , Anticholinergic Syndrome/therapy , Foodborne Diseases/diagnosis , Foodborne Diseases/physiopathology , Foodborne Diseases/psychology , Foodborne Diseases/therapy , Humans , Male , Middle Aged , Plant Poisoning/diagnosis , Plant Poisoning/physiopathology , Plant Poisoning/psychology , Plant Poisoning/therapy , Treatment OutcomeSubject(s)
Paranoid Disorders/etiology , Plant Poisoning , Product Packaging , Salvia , Adolescent , Adult , Drug and Narcotic Control/trends , Humans , Illicit Drugs/adverse effects , Illicit Drugs/legislation & jurisprudence , Male , Plant Poisoning/prevention & control , Plant Poisoning/psychology , Product Packaging/legislation & jurisprudence , Product Packaging/trends , Psychotropic Drugs/pharmacology , Salvia/adverse effects , Salvia/chemistryABSTRACT
Ingestion of star fruit (Averrhoa carambola) can induce severe intoxication in subjects with chronic renal failure. Oxalate plays a key role in the neurotoxicity of star fruit. We report the cases of two patients with unknown chronic renal insufficiency who developed severe encephalopathy after ingestion of star fruit. The two patients developed intractable hiccups, vomiting, impaired consciousness and status epilepticus. Diffusion-weighted MR imaging showed cortical and thalamic hyperintense lesions related to epileptic status. They improved after being submitted to continuous hemofiltration which constitutes the most effective treatment during the acute phase.
Subject(s)
Brain Diseases/chemically induced , Fruit/adverse effects , Kidney Failure, Chronic/complications , Plant Poisoning/pathology , Aged , Aged, 80 and over , Brain Diseases/pathology , Brain Diseases/therapy , Consciousness Disorders/chemically induced , Glasgow Coma Scale , Hemofiltration , Hiccup/chemically induced , Humans , Magnetic Resonance Imaging , Male , Plant Poisoning/psychology , Plant Poisoning/therapy , Status Epilepticus/chemically induced , Tomography, X-Ray Computed , Vomiting/chemically inducedABSTRACT
This paper examines the effectiveness of applied science in a case study of two aspects of livestock and human poisoning in New Zealand, from the earliest European contact in the 1770s through to the 1950s. It considers the role and value of government science first in attempting to solve a problem that continues to affect New Zealand farmers, killing according to one estimate between 10 and 15 percent of their stock annually. Second, it addresses a related problem that has a much longer history of human poisoning, but that turned out to have quite unexpected causes in New Zealand. From this analysis, the historic bases on which present-day science funding policies were "reformed" in the 1990s are questioned.
Subject(s)
Animal Diseases , Crops, Agricultural , Food Supply , Plant Poisoning , Plants, Toxic , Public Health , Science , Animal Diseases/economics , Animal Diseases/history , Animals , Animals, Domestic/physiology , Behavioral Symptoms/economics , Behavioral Symptoms/ethnology , Behavioral Symptoms/history , Behavioral Symptoms/psychology , Crops, Agricultural/economics , Crops, Agricultural/history , Ecology/economics , Ecology/education , Ecology/history , Ecology/legislation & jurisprudence , Europe/ethnology , Food Industry/economics , Food Industry/education , Food Industry/history , Food Industry/legislation & jurisprudence , Food Supply/economics , Food Supply/history , Food Supply/legislation & jurisprudence , Government Programs/economics , Government Programs/education , Government Programs/history , Government Programs/legislation & jurisprudence , History, 18th Century , History, 19th Century , History, 20th Century , Humans , New Zealand/ethnology , Plant Poisoning/economics , Plant Poisoning/ethnology , Plant Poisoning/history , Plant Poisoning/psychology , Plants, Toxic/physiology , Poisoning/economics , Poisoning/ethnology , Poisoning/history , Poisoning/psychology , Public Health/economics , Public Health/education , Public Health/history , Public Health/legislation & jurisprudence , Public Policy , Research/education , Research/history , Science/education , Science/historyABSTRACT
Plant poisonings have been reported since ancient times. Despite this, little attention is paid to intoxications with herbal poisons by psychiatric literature and the danger from poisonous plants is commonly underestimated. This problem is discussed here, and advice for the prevention of plant poisonings and generally dealing with patients intoxicated by herbal poisons is given.
