A CLINICAL PICTURE OF ANTICHOLINERIC TOXIDROME DEVELOPED DUE TO SCUTELLARIA ORIENTALIS: A CASE REPORT

Year 2022, Volume: 13 Issue: 2, 47 - 49, 23.06.2022

Yıldız Yıldırımer , Sema Yeşilkaya , Huzeyfe Yeşilkaya

https://doi.org/10.33706/jemcr.1030531

Abstract

Scutellaria orientalis is a plant species with yellow flowers. Generally, it is used by locals as an antidiarrheal, antihemorrhagic and fatigue relieving treatment in the regions where it grows endemic in eastern Turkey. In our case, a 23-year-old patient, who used this plant, with an overall clinical picture dominated by anticholinergic toxidrome is mentioned. Although anticholinergic toxidrome is a syndrome that can be diagnosed with various clinical findings, its treatment is symptomatic and physostigmine can be used for treatment in severe cases. (1)Depending on the clinical course of the patient, the possibility of follow-up and/or treatment in intensive care units may arise.

Keywords

Scutellaria orientalis, anticholinergic toxidrome, antidiarrheal

References

• 1. Berdai MA, Labib S, Chetouani K, Harandou M. Atropa Belladonna intoxication: A case report. Pan Afr Med J. 2012;
• 2. Bardakci H, Türköz Acar E, Kırmızıbekmez H. Simultaneous quantification of six phenylethanoid glycosides in some Turkish Scutellaria species by a new HPLC-DAD method. Nat Prod Res. 2019;
• 3. Burns MJ, Linden CH, Graudins A, Brown RM, Fletcher KE. A comparison of physostigmine and benzodiazepines for the treatment of anticholinergic poisoning. Ann Emerg Med. 2000;
• 4. Özmen A, Madlener S, Bauer S, Krasteva S, Vonach C, Giessrigl B, et al. In vitro anti-leukemic activity of the ethno-pharmacological plant Scutellaria orientalis ssp. carica endemic to western Turkey. Phytomedicine. 2010;
• 5. Serrano WC, Maldonado J. The Use of Physostigmine in the Diagnosis and Treatment of Anticholinergic Toxicity After Olanzapine Overdose: Literature Review and Case Report. Journal of the Academy of Consultation-Liaison Psychiatry. 2021,
• 6. Heindl S, Binder C, Desel H, Matthies U, Lojewski I, Bandelow B, et al. [Etiology of initially unexplained confusion of excitability in deadly nightshade poisoning with suicidal intent. Symptoms, differential diagnosis, toxicology and physostigmine therapy of anticholinergic syndrome]. Dtsch Med Wochenschr. 2000.