A sabbath in the emergency room or a case of anticholinergic toxicity?
Open Access
- 29 March 2022
- journal article
- research article
- Published by PAGEPress Publications in Emergency Care Journal
- Vol. 18 (1)
- https://doi.org/10.4081/ecj.2022.10292
Abstract
We report the case of a 32-year-old Italian man admitted to our emergency room for visual disturbances with blurred vision, anisocoria and temporal headache suddenly occurred in absence of other neurological symptoms. A diagnosis of Datura stramoniuminduced anticholinergic toxicity was done. With our work, we want to highlight the importance of a meticulous clinical examination, including papillary diameter and reflexes, combined with a detailed history of the patient in the emergency room. Anticholinergic toxicity is a medical emergency. The diagnosis is always clinical, and it can represent a challenge for the emergency clinicians because it can mimic several neurological diseases, including acute stroke and seizures, but early diagnosis is crucial to avoid severe complications and management errors.Keywords
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