Abstract:
UNLABELLED:We describe the case of a 6-year-old girl brought to the emergency department for the sudden onset of anticholinergic syndrome after the ingestion of a few home-made partially debittered lupine beans. She complained of blurry vision, headache, photophobia and nausea. No specific treatment was needed, and the symptoms resolved about 12 h after the exposure. Lupine beans are a popular and worldwide-diffused food. The bitter variety is rich in alkaloids harbouring anticholinergic activity and thus requires a debittering process before lupines can be eaten. Only four cases of acute toxicity, due to the ingestion of incompletely detoxified bitter lupines, have been reported in children so far; notwithstanding the small amount of lupines ingested, three of these cases were lethal. CONCLUSION:Acute anticholinergic syndrome can arise after the consumption of a wide range of exogenous substances including partially debittered lupine beans. Paediatricians should be aware of bitter lupine toxicity, recognize possible cases of intoxication, ensure a prompt and appropriate supportive treatment and provide appropriate information about their danger.
journal_name
Eur J Pediatrjournal_title
European journal of pediatricsauthors
Daverio M,Cavicchiolo ME,Grotto P,Lonati D,Cananzi M,Da Dalt Ldoi
10.1007/s00431-013-2088-2subject
Has Abstractpub_date
2014-12-01 00:00:00pages
1549-51issue
12eissn
0340-6199issn
1432-1076journal_volume
173pub_type
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journal_title:European journal of pediatrics
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