For example, he thought that the blood pressure cord was his vein. He continued to have visual hallucinations. His GCS was 13 and his pupils were 5 mm and sluggish. On arrival in the ER, his vital signs were pulse rate 106 beats/min, respiratory rate 18 breaths/min and blood pressure 131/81 mmHg. His mother received a call that he was again delusional, incoherent and banging his head against the wall. These symptoms had decreased and he had gone to a relative’s house. He had been hallucinating, picking things out of the air and talking to people who were not there. His mother stated that he ingested Angel’s Trumpet seeds three days earlier. His family history was positive for substance abuse and suicide.Ī 14-year-old boy was brought by emergency medical services to the Children’s Hospital ER due to hallucinations. He had been in trouble with the law, was not in school at the time of hospitalization, and had previously been in the care of Child and Family Services. The patient had a history of attention-deficit hyperactivity disorder and substance abuse, and was not currently on treatment. His creatinine kinase peaked on his second day of admission at 1338 U/L and his myoglobin peaked the same day at 262 ug/L (normal creatinine kinase less than 350 U/L and normal myoglobin less than 70 ug/L). He was admitted to the hospital for two days, during which time he had two outbursts requiring security to be called. Due to his agitation and combativeness, he was placed in four-point restraints and given two doses of 2 mg IM lorazepam and a dose of methotrimeprazine. His GCS was initially 5 but quickly improved to 15, and his pupils were 5 mm. His initial vital signs in the ER were temperature 37.1☌, pulse rate 136 beats/min, respiratory rate 36 breaths/min, blood pressure 140/80 mmHg and oxygen saturation 96% on room air. On the day of admission, the patient was again hallucinating and was combative. The day before his admission, he had ingested Angel’s Trumpet seeds and had visual hallucinations that had resolved. The patient had a history of mental health problems, polysubstance abuse and contact with Child and Family Services.Ī 13-year-old boy was brought by emergency medical services and police to the Children’s Hospital ER with combativeness and visual hallucinations. He had an uneventful stay in the paediatric intensive care unit for 12 h and was transferred to the ward and discharged home 36 h later. The patient was transferred to the paediatric intensive care unit for further monitoring due to benzodiazepine use. The patient remained agitated and was given three more doses of 5 mg IM diazepam over the next 4 h. He became agitated and aggressive, and was given 10 mg of intramuscular (IM) diazepam and 10 mg of IM haloperidol because he had spat out the oral medications that were given to him. He responded to his name but was otherwise disoriented. His Glasgow Coma Scale (GCS) was 12, and his pupils were 6 mm (normal 2 mm to 3 mm) and sluggish. Initially his vital signs were temperature 36.3☌, pulse rate 80 beats/min, respiratory rate 14 breaths/min, blood pressure 122/68 mmHg and oxygen saturation 98% on room air. He had ingested 49 Angel’s Trumpet seeds the night before. Les travailleurs de la santé devraient envisager l’ingestion de plantes anticholinergiques comme cause possible d’apparition abrupte de délire.Ī 16-year-old boy was brought to the Children’s Hospital emergency room (ER) with disorientation, hallucinations and combativeness. Les modalités de traitement se sont limitées à la sédation et à des moyens de contention. Ils n’ont souffert d’aucune complication grave pendant l’hospitalisation, et ils se sont tous entièrement rétablis. L’hospitalisation s’est prolongée pendant une moyenne de deux jours. Les quatre patients étaient des consommateurs de drogues et d’alcool connus. Les modifications de l’état mental sont caractéristiques du délire. Les quatre patients présentaient tous une diminution du niveau de conscience, mesuré selon l’échelle de coma de Glasgow, des hallucinations visuelles, des pupilles dilatées et de l’agitation. Les auteurs ont revu leur dossier afin d’établir la présence de signes et symptômes de toxicité, ainsi que d’analyser l’évolution clinique, le traitement et l’issue. Pendant l’été 2006, quatre adolescents ont été hospitalisés à cause de l’ingestion intentionnelle de Datura stramonium (trompette des anges).
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