봄나물 섭취 후 이상 행동을 주요 증상으로 내원한 환자 1례

A Patient Presenting with Abnormal Behavior after Wild Plant Ingestion

  • 옥택근 (강원대학교 의과대학 응급의학교실) ;
  • 김윤성 (강원대학교 의과대학 응급의학교실) ;
  • 박찬우 (강원대학교 의과대학 응급의학교실) ;
  • 문중범 (강원대학교병원 임상의학연구소) ;
  • 최기훈 (한림대학교 춘천성심병원 응급의학과) ;
  • 서정열 (한림대학교 춘천성심병원 응급의학과) ;
  • 안희철 (한림대학교 춘천성심병원 응급의학과) ;
  • 안무업 (한림대학교 춘천성심병원 응급의학과) ;
  • 조준휘 (강원대학교병원 임상의학연구소)
  • Ohk Taek-Geun (Department of Emergency Medicine, College of Medicine, Kangwon Natioinal University) ;
  • Kim Yoon-Seong (Department of Emergency Medicine, College of Medicine, Kangwon Natioinal University) ;
  • Park Chan-Woo (Department of Emergency Medicine, College of Medicine, Kangwon Natioinal University) ;
  • Moon Joong-Bum (Clinical Research Institute of Kangwon National University Hospital) ;
  • Choi Ki-Hoon (Department of Emergency Medicine, Chuncheon Sacred Heart Hospital, Hallym University) ;
  • Seo Jeong-Yeul (Department of Emergency Medicine, Chuncheon Sacred Heart Hospital, Hallym University) ;
  • Ahn Hee-Cheol (Department of Emergency Medicine, Chuncheon Sacred Heart Hospital, Hallym University) ;
  • Ahn Moo-Wob (Department of Emergency Medicine, Chuncheon Sacred Heart Hospital, Hallym University) ;
  • Cho Jun-Hwi (Clinical Research Institute of Kangwon National University Hospital)
  • 발행 : 2006.06.01

초록

With well-being boom recently, the common people, but not experts, are increasingly taking in them directly by picking wild herbs. However, only experts can distinguish between edible vegetables and poisonous herbs from the wild herbs. Especially, it is not even easy for experts to distinguish them only by looking into buds in spring without flowers or fruit. So, sometimes many patients are being carried into the emergency room by the toxic symptom after taking by misunderstanding the poisonous herbs as edible vegetables. For herb intoxication as well as drug intoxication, what kinds of vegetables patients took in, and when and how much they took in them are important information for curing. Of course, in the case of intoxicating in the wild herbs, the patients can have a lot of symptoms and sings-hemodynamic alteration and abnormal neurologic sign as well as gastrointestinal symptoms-according to the kinds of herbs which they took in. Therefore, it is difficult to find the kinds of herbs which they took in through the specific symptoms. Recently we experienced a case with showing typical anticholinergic symptoms after ingestion of Scopolia japonica. As a result, the publicity activities about the wild plants needs because if the person without their previous knowledge take in the poisonous herbs, serious side effects can be produced..

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