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A Case of Grayanotoxin Intoxication Presentingwith Mental Changes and Vomiting
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±è±Ô¸® ( Kim Curie )
À»Áö´ëÇб³ ÀÇ°ú´ëÇÐ ¼Ò¾Æ°úÇб³½Ç
¾öÁöÇö ( Uhm Ji-Hyun )
À»Áö´ëÇб³ ÀÇ°ú´ëÇÐ À»Áöº´¿ø ¼Ò¾Æ°úÇб³½Ç
¾È¿µ¹Î ( Ahn Young-Min )
À»Áö´ëÇб³ ÀÇ°ú´ëÇÐ À»Áöº´¿ø ¼Ò¾Æ°úÇб³½Ç
ÀÌÈñ¿ì ( Lee Hee-Woo )
À»Áö´ëÇб³ ÀÇ°ú´ëÇÐ ¼Ò¾Æ°úÇб³½Ç
±èµ¿¼ø ( Kim Dong-Soon )
À»Áö´ëÇб³ ÀÇ°ú´ëÇÐ À»Áöº´¿ø ¼Ò¾Æ°úÇб³½Ç
KMID : 0816120080110020223
Abstract
Grayanotoxin¿¡ ÀÇÇÑ Áßµ¶Àº ´ëºÎºÐ º¸Á¸Àû Ä¡·á¸¸À¸·Îµµ ¿ÏÀüÈ÷ ȸº¹µÇ´Â °æ¿ì°¡ ¸¹±â ¶§¹®¿¡ À̸¦ °¨º°ÇÏ´Â °ÍÀÌ Áß¿äÇÏ´Ù. ÀúÀÚµéÀº »ê¿¡¼ öÂß²ÉÀ» 10¼ÛÀÌ ³Ñ°Ô ¼·Ãë ÈÄ ÀǽÄÀúÇϸ¦ ÁÖ¼Ò·Î ÀÀ±Þ½Ç¿¡ ³»¿øÇÑ 9¼¼ ³²ÀÚ È¯ÀÚ¸¦ Áø´ÜÇÏ°í Ä¡·áÇÏ¿´±â¿¡ ¹®Çå°íÂû°ú ÇÔ²² º¸°íÇÏ´Â ¹ÙÀÌ´Ù.
Rhododendron species is one of the largest and most diverse genera in the plant kingdom, comprising over 800 species and existing all over the globe. Grayanotoxin intoxication is caused by ingestion of honey and flowers. Grayanotoxin exists in honey, flowers, pollen, and nectar of the Rhododendron species. Grayanotoxin-intoxicated patients may present with nausea, vomiting, dizziness, weakness, hypotension, bradycardia, and syncope for several hours. We report a case of grayanotoxin intoxication associated with mental changes. A 9-year-old male presented with impaired consciousness and delirium 26 hours after eating about 10 rhododendron sclippenbachii flowers. A brain MRI and EEG were normal. Parenteral fluids were administered and these symptoms resolved completely in 17 hours.
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Rhododendron;Grayanotoxin intoxication;Mental status changes
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