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An unusual case of anisocoria by vegetal intoxication: a case report

A 12 year old boy presented with an acute onset of anisocoria and blurred vision. Ocular motility was normal but his right pupil was dilated, round but sluggishly reactive to light. There was no history of trauma, eye drops' instillation, nebulised drugs or local ointments. His past medical his...

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Autores principales: Macchiaiolo, Marina, Vignati, Elettra, Gonfiantini, Michaela V, Grandin, Annalisa, Romano, Maria Teresa, Salata, Michele, Valentini, Diletta, Villani, Alberto
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2914661/
https://www.ncbi.nlm.nih.gov/pubmed/20646270
http://dx.doi.org/10.1186/1824-7288-36-50
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author Macchiaiolo, Marina
Vignati, Elettra
Gonfiantini, Michaela V
Grandin, Annalisa
Romano, Maria Teresa
Salata, Michele
Valentini, Diletta
Villani, Alberto
author_facet Macchiaiolo, Marina
Vignati, Elettra
Gonfiantini, Michaela V
Grandin, Annalisa
Romano, Maria Teresa
Salata, Michele
Valentini, Diletta
Villani, Alberto
author_sort Macchiaiolo, Marina
collection PubMed
description A 12 year old boy presented with an acute onset of anisocoria and blurred vision. Ocular motility was normal but his right pupil was dilated, round but sluggishly reactive to light. There was no history of trauma, eye drops' instillation, nebulised drugs or local ointments. His past medical history was negative. A third nerve palsy was considered but the performed cerebral MRI was normal. On further anamnestic investigation the boy revealed that he had spent the morning doing gardening, and especially working on a "trumpet plant". Datura and Brugmansia are well known toxic plant; all Datura and Brugmasia plants contain, primarily in their seeds and flowers, tropane alkaloids such as scopolamine, hyoscyamine and atropine. Systemic and local intoxications have already been described. The day after anisocoria was much less evident and completely resolved in three days. We present this case of an unusual cause of mydriasis to underline once more the importance of a well and deeply conducted medical history.
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spelling pubmed-29146612010-08-04 An unusual case of anisocoria by vegetal intoxication: a case report Macchiaiolo, Marina Vignati, Elettra Gonfiantini, Michaela V Grandin, Annalisa Romano, Maria Teresa Salata, Michele Valentini, Diletta Villani, Alberto Ital J Pediatr Case Report A 12 year old boy presented with an acute onset of anisocoria and blurred vision. Ocular motility was normal but his right pupil was dilated, round but sluggishly reactive to light. There was no history of trauma, eye drops' instillation, nebulised drugs or local ointments. His past medical history was negative. A third nerve palsy was considered but the performed cerebral MRI was normal. On further anamnestic investigation the boy revealed that he had spent the morning doing gardening, and especially working on a "trumpet plant". Datura and Brugmansia are well known toxic plant; all Datura and Brugmasia plants contain, primarily in their seeds and flowers, tropane alkaloids such as scopolamine, hyoscyamine and atropine. Systemic and local intoxications have already been described. The day after anisocoria was much less evident and completely resolved in three days. We present this case of an unusual cause of mydriasis to underline once more the importance of a well and deeply conducted medical history. BioMed Central 2010-07-20 /pmc/articles/PMC2914661/ /pubmed/20646270 http://dx.doi.org/10.1186/1824-7288-36-50 Text en Copyright ©2010 Macchiaiolo et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Macchiaiolo, Marina
Vignati, Elettra
Gonfiantini, Michaela V
Grandin, Annalisa
Romano, Maria Teresa
Salata, Michele
Valentini, Diletta
Villani, Alberto
An unusual case of anisocoria by vegetal intoxication: a case report
title An unusual case of anisocoria by vegetal intoxication: a case report
title_full An unusual case of anisocoria by vegetal intoxication: a case report
title_fullStr An unusual case of anisocoria by vegetal intoxication: a case report
title_full_unstemmed An unusual case of anisocoria by vegetal intoxication: a case report
title_short An unusual case of anisocoria by vegetal intoxication: a case report
title_sort unusual case of anisocoria by vegetal intoxication: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2914661/
https://www.ncbi.nlm.nih.gov/pubmed/20646270
http://dx.doi.org/10.1186/1824-7288-36-50
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