Poisoning with Henbane in 32 Weeks Pregnant

We aimed to present a case of intoxication occurring as a result of Hyoscyamus niger L ingestion in a pregnant patient under the shed of literature. Twenty three year-old-age, gravida 2, parity 1 pregnant woman in 32nd gestational week was admitted to the emergency room with complaints of nausea, vomiting, blurred vision and meaningless speech all developing after eating a plant that she didn’t know its name and was similar to lettuce. On physical examination, tachycardia, facial flushing and mydriasis were noticed and sinus tachycardia was present on electrocardiogram. Gastric lavage was performed via nasogastric tube, activated charcoal was given and supportive therapy was started. The patient who was monitored under observation was discharged after her symptoms were relieved. In conclusion; in intoxications resulting in anticholinergic syndrome, treatment in pregnant women is the same as in nonpregnant and consists of a good observation, monitorization and supportive approach. Early diagnosis and treatment are lifesaving.

32 Haftalık Gebede Banotu Zehirlenmesi

Gebe bir olguda Hyoscyamus niger L. yenilmesi sonucu gelişen zehirlenmeyi literatür eşliğinde sunmayı amaçladık. Yirmi üç yaşında, gravida 2, parite 1 olan 32 haftalık gebe, adını bilmediği ve marula benzettiği bitkiyi yedikten sonra bulantı, kusma, görmede bulanıklık, anlamsız konuşma şikayetleriyle acil servise başvurdu. Fizik muayenede taşikardi, yüzde kızarıklık ve midriazis, elektrokardiografide sinüs taşikardisi mevcuttu. Hastaya nazogastrik sonda ile mide lavajı yapıldı, aktif kömür verildi ve destek tedavisi uygulandı. Monitorize edilerek takibe alınan hasta bulgularının düzelmesi sonucu taburcu edildi. Sonuç olarak; antikolinerjik sendroma yol açan zehirlenmelerde, gebe olgularda tedavi yaklaşımı gebe olmayanlarla aynı olup, iyi bir gözlem, monitorizasyon ve destekleyici yaklaşımdan ibarettir. Erken tanı ve tedavi hayat kurtarıcıdır.