Epidemiological Study of Patients Poisoned by Poisonous Plants in Isfahan

Background and purpose: Nowadays, plants are more available and many are used for treatment purposes, therefore, the rate of poisoning by plants has increased. According to the geographical location of Isfahan in Iran, the present study aimed at investigating this problem since there is paucity of i...

Full description

Bibliographic Details
Main Authors: Farzad Gheshlaghi, Hadi Hashemi, Shadi Haddad, Rokhsareh Meamar
Format: Article
Language:English
Published: Mazandaran University of Medical Sciences 2022-05-01
Series:Journal of Mazandaran University of Medical Sciences
Subjects:
Online Access:http://jmums.mazums.ac.ir/article-1-17308-en.html
_version_ 1797893201865998336
author Farzad Gheshlaghi
Hadi Hashemi
Shadi Haddad
Rokhsareh Meamar
author_facet Farzad Gheshlaghi
Hadi Hashemi
Shadi Haddad
Rokhsareh Meamar
author_sort Farzad Gheshlaghi
collection DOAJ
description Background and purpose: Nowadays, plants are more available and many are used for treatment purposes, therefore, the rate of poisoning by plants has increased. According to the geographical location of Isfahan in Iran, the present study aimed at investigating this problem since there is paucity of information about plant poisoning in the region.   Materials and methods: In this cross-sectional study, patient data poisoned with poisonous plants were collected from Khorshid Hospital (a referral center for poisoning) in Isfahan between 2010 and 2019. Demographic and clinical, paraclinical and, therapeutic information were studied. Results: In 72 patients with plant poisoning, the most common cause was unknown plants (29%) followed by castor seed poisoning (22.2%) and datura (16.6%). The majority of patients were male (60%) and the highest rate of poisoning occurred in people aged 20-39 years old. Conscious poisoning was most often reported to be with datura (46.7%) in patients of 10-19 years old, while accidental poisoning was found to be more common with unknown plants (34.1%) in children (0-9 years of age). Poisoning due to treatment purposes was seen manily by unknown plants and castor seeds (61.6%). Suicide by self-poisoning was mainly done by oleander (66.7%). At admission, patients with datura poisoning often had tachycardia (58%) and mydriasis pupils (91%). In patients with castor bean poisoning, gastrointestinal symptoms were more frequent (nausea and vomiting in 94%). Most of the patients were discharged within 24 hours after admission. None of the patients needed antidote and intubation and all were discharged with supportive treatment and complete recovery. Conclusion: Most of the cases studied had mild symptoms and only needed supportive care. ‎
first_indexed 2024-04-10T06:49:08Z
format Article
id doaj.art-1783198cf305480fbdd4f87606563f8e
institution Directory Open Access Journal
issn 1735-9260
1735-9279
language English
last_indexed 2024-04-10T06:49:08Z
publishDate 2022-05-01
publisher Mazandaran University of Medical Sciences
record_format Article
series Journal of Mazandaran University of Medical Sciences
spelling doaj.art-1783198cf305480fbdd4f87606563f8e2023-02-28T08:45:26ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792022-05-0132209200205Epidemiological Study of Patients Poisoned by Poisonous Plants in IsfahanFarzad Gheshlaghi0Hadi Hashemi1Shadi Haddad2Rokhsareh Meamar3 Professor, Department of Clinical Toxicology, Isfahan Clinical Toxicology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran General Practioner, Isfahan Clinical Toxicology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran General Practioner, Isfahan Clinical Toxicology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran Associate Professor, Department of Clinical Toxicology, Isfahan Clinical Toxicology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran Background and purpose: Nowadays, plants are more available and many are used for treatment purposes, therefore, the rate of poisoning by plants has increased. According to the geographical location of Isfahan in Iran, the present study aimed at investigating this problem since there is paucity of information about plant poisoning in the region.   Materials and methods: In this cross-sectional study, patient data poisoned with poisonous plants were collected from Khorshid Hospital (a referral center for poisoning) in Isfahan between 2010 and 2019. Demographic and clinical, paraclinical and, therapeutic information were studied. Results: In 72 patients with plant poisoning, the most common cause was unknown plants (29%) followed by castor seed poisoning (22.2%) and datura (16.6%). The majority of patients were male (60%) and the highest rate of poisoning occurred in people aged 20-39 years old. Conscious poisoning was most often reported to be with datura (46.7%) in patients of 10-19 years old, while accidental poisoning was found to be more common with unknown plants (34.1%) in children (0-9 years of age). Poisoning due to treatment purposes was seen manily by unknown plants and castor seeds (61.6%). Suicide by self-poisoning was mainly done by oleander (66.7%). At admission, patients with datura poisoning often had tachycardia (58%) and mydriasis pupils (91%). In patients with castor bean poisoning, gastrointestinal symptoms were more frequent (nausea and vomiting in 94%). Most of the patients were discharged within 24 hours after admission. None of the patients needed antidote and intubation and all were discharged with supportive treatment and complete recovery. Conclusion: Most of the cases studied had mild symptoms and only needed supportive care. ‎http://jmums.mazums.ac.ir/article-1-17308-en.htmlpoisonous plantspoisoningcastor beandaturaisfahaniran
spellingShingle Farzad Gheshlaghi
Hadi Hashemi
Shadi Haddad
Rokhsareh Meamar
Epidemiological Study of Patients Poisoned by Poisonous Plants in Isfahan
Journal of Mazandaran University of Medical Sciences
poisonous plants
poisoning
castor bean
datura
isfahan
iran
title Epidemiological Study of Patients Poisoned by Poisonous Plants in Isfahan
title_full Epidemiological Study of Patients Poisoned by Poisonous Plants in Isfahan
title_fullStr Epidemiological Study of Patients Poisoned by Poisonous Plants in Isfahan
title_full_unstemmed Epidemiological Study of Patients Poisoned by Poisonous Plants in Isfahan
title_short Epidemiological Study of Patients Poisoned by Poisonous Plants in Isfahan
title_sort epidemiological study of patients poisoned by poisonous plants in isfahan
topic poisonous plants
poisoning
castor bean
datura
isfahan
iran
url http://jmums.mazums.ac.ir/article-1-17308-en.html
work_keys_str_mv AT farzadgheshlaghi epidemiologicalstudyofpatientspoisonedbypoisonousplantsinisfahan
AT hadihashemi epidemiologicalstudyofpatientspoisonedbypoisonousplantsinisfahan
AT shadihaddad epidemiologicalstudyofpatientspoisonedbypoisonousplantsinisfahan
AT rokhsarehmeamar epidemiologicalstudyofpatientspoisonedbypoisonousplantsinisfahan