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Clinical Toxicology Volume 44, 2006 - Issue 3
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Case Report

A Case of Jatropha multifida Poisoning Resembling Organophosphate Intoxication

Dror Koltin Division of Pediatric Emergency Medicine, Department of Pediatrics, Meir Medical Center, Kfar Saba, Israel; Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
, M.D.,
Yosef Uziel Division of Pediatric Emergency Medicine, Department of Pediatrics, Meir Medical Center, Kfar Saba, Israel; Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
, M.D.,
Dina Schneidermann Division of Pediatric Emergency Medicine, Department of Pediatrics, Meir Medical Center, Kfar Saba, Israel; Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
, M.D.,
Shula Kotzki R.N. Division of Pediatric Emergency Medicine, Department of Pediatrics, Meir Medical Center, Kfar Saba, Israel; Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
,
Baruch Wolach Division of Pediatric Emergency Medicine, Department of Pediatrics, Meir Medical Center, Kfar Saba, Israel; Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
, M.D. &
Pinchas Fainmesser Division of Pediatric Emergency Medicine, Department of Pediatrics, Meir Medical Center, Kfar Saba, Israel; Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
, M.D.
Pages 337-338 | Received 17 Aug 2004, Accepted 21 Jun 2005, Published online: 07 Oct 2008
 
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Abstract

Four siblings presented with vomiting, diarrhea and miosis following ingestion of the plant. This is the first report of miosis as a presenting sign of Jatropha intoxication. The combination of vomiting, diarrhea and miosis resembles the clinical presentation of organophosphate poisoning. This fact warrants the consideration of Jatropha ingestion in the differential diagnosis of organophosphate ingestion. Treatment of Jatropha intoxication is supportive with emphasis on rehydration. Measurement of plasma acetylcholinesterase activity levels, which is normal after Jatropha ingestion and decreased following organophosphate poisoning, may help differentiate between the two.

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