Open AccessA sabbath in the emergency room or a case of anticholinergic toxicity?
Author(s) -
Antonio Agosti,
Silvia Bricchi,
Francesca Rovati,
Mara Vancea Opris,
Davide Giulio Ponzi,
Francesco Mariani,
Nicola Morelli,
Andrea Magnacavallo,
Andrea Vercelli,
Erika Poggiali
Publication year - 2022
Publication title -
emergency care journal
Language(s) - English
Resource type - Journals
eISSN - 2282-2054
pISSN - 1826-9826
DOI - 10.4081/ecj.2022.10292
Subject(s) - medicine , anticholinergic , anisocoria , emergency department , blurred vision , neurological examination , physical examination , medical history , toxicity , stroke (engine) , work up , anesthesia , intensive care medicine , surgery , psychiatry , pupil , mechanical engineering , neuroscience , engineering , biology
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.