A child accidentally ingested some fruit which he plucked from a tree while playing . After the ingestion of the fruit , he presented with restlessness, painful swallowing, photophobia, dry skin , urinary retention and elevated body temperature. What is the possible poisoning and the appropriate antidote for it?
- Datura & Physostigmine
- Yellow oleander & Physostigmine
- Datura & Pralidoxime
- Yellow oleander & Pralidoxime
The Correct Option is A
Solution and Explanation
The symptoms presented by the child include restlessness, painful swallowing, photophobia, dry skin, urinary retention, and elevated body temperature. These symptoms align with anticholinergic toxicity. A common cause of such toxicity is ingestion of plants containing tropane alkaloids, such as those found in Datura species.
Explanation of Symptoms:
- Restlessness: Central nervous system excitation is a result of central anticholinergic effects.
- Painful swallowing (dysphagia): Due to reduced secretions, causing a dry throat.
- Photophobia and dilated pupils (mydriasis): Atropine-like effect that causes paralysis of the ciliary muscle.
- Dry skin: Result of inhibited sweat production.
- Urinary retention: Smooth muscle relaxation in the bladder.
- Elevated body temperature (hyperthermia): Reduced perspiration and vasodilation.
Given the symptoms, the likely causative agent is the anticholinergic plant Datura.
Antidote:
For anticholinergic toxicity, the appropriate antidote is Physostigmine, a cholinesterase inhibitor, which increases the concentration of acetylcholine in synaptic clefts, thereby counteracting the anticholinergic effects.
Conclusion:
Thus, the correct diagnosis and treatment option is Datura poisoning and Physostigmine as the antidote.
Top NEET PG Forensic Medicine Questions
- A child before playing consumed fruit from the garden. After some time he developed a high fever, confusion, photophobia, and unable to urinate. What are the likely causative agent and the appropriate antidote used in this case?
- The method of autopsy carried out en masse to remove from tongue to prostate is.
- A 42-year-old HIV-positive patient died, and his body was brought for post-mortem. The method of autopsy to be done is___
- A 10-year-old male child came to the casualty with difficulty in walking and pain in the perianal region. On subjecting the specimen from the perianal region to a test, it produces yellow needle-shaped rhombic crystals with picric acid. What is the test done?
- A patient was brought to casualty with seizures. He had multiple episodes and was taking herbal medicines for the same. He was conscious in between the episodes. During the episodes, he had arching of his back. What is the likely cause?
Top NEET PG Clinical forensic medicine Questions
Top NEET PG Questions
- A patient hailing from Delhi presents with fever, arthralgia, and extensive petechial rash for 3 days. Lab investigations revealed a hemoglobin of 9 g/ dL, a white blood cell count of 9000 cells/mm3, a platelet count of 20000 cells/mm3, and a prolonged bleeding time. The clotting time was normal. What is the most likely diagnosis?
- Which of the following statements is true about Trichomonas vaginalis?
- A lady from West Rajasthan presented with an ulcer surrounded by erythema on the right leg. Microscopy of the biopsy from the edge of the ulcer showed organisms with dark staining nuclei and kinetoplast. What is the most likely causative agent?
- A child presents with a fever and a rash. Urine examination showed cells with owl's eye appearance. What is the most likely diagnosis?
- Infection with Clonorchis sinensis is associated with an increased risk of__?