Pediatric Gastroenterology, Hepatology & Nutrition
- 제11권2호
- /
- Pages.223-225
- /
- 2008
- /
- 2234-8646(pISSN)
- /
- 2234-8840(eISSN)
의식 변화와 구토를 주소로 내원한 Grayanotoxin Intoxication 1예
A Case of Grayanotoxin Intoxication Presenting with Mental Changes and Vomiting
- 김규리 (을지대학교 의과대학 노원을지병원 소아청소년과학교실) ;
- 김동순 (을지대학교 의과대학 노원을지병원 소아청소년과학교실) ;
- 이희우 (을지대학교 의과대학 노원을지병원 소아청소년과학교실) ;
- 안영민 (을지대학교 의과대학 노원을지병원 소아청소년과학교실) ;
- 엄지현 (을지대학교 의과대학 노원을지병원 소아청소년과학교실)
- Kim, Cu-Rie (Department of Pediatrics, Eulji General Hospital, University of Eulji College of Medicine) ;
- Kim, Dong-Soon (Department of Pediatrics, Eulji General Hospital, University of Eulji College of Medicine) ;
- Lee, Hee-Woo (Department of Pediatrics, Eulji General Hospital, University of Eulji College of Medicine) ;
- Ahn, Young-Min (Department of Pediatrics, Eulji General Hospital, University of Eulji College of Medicine) ;
- Uhm, Ji-Hyun (Department of Pediatrics, Eulji General Hospital, University of Eulji College of Medicine)
- 투고 : 2008.07.30
- 심사 : 2008.09.16
- 발행 : 2008.09.30
초록
Grayanotoxin에 의한 중독은 대부분 보존적 치료만으로도 완전히 회복되는 경우가 많기 때문에 이를 감별하는 것이 중요하다. 저자들은 산에서 철쭉꽃을 10송이 넘게 섭취 후 의식저하를 주소로 응급실에 내원한 9세 남자 환자를 진단하고 치료하였기에 문헌고찰과 함께 보고하는 바이다.
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.