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Archives de pédiatrie
Volume 18, n° 2
pages 186-188 (février 2011)
Doi : 10.1016/j.arcped.2010.11.006
Received : 31 May 2010 ;  accepted : 25 November 2010
Un cas d’intoxication aiguë par la belladone (Atropa belladona) chez une enfant de 2ans
Deadly nightshade (Atropa belladonna ) intoxication in a 2-year-old child
 

F. Laffargue a, C. Oudot a, A. Constanty b, A. Bedu b, S. Ketterer-Martinon b,
a Service des urgences pédiatriques, hôpital de la Mère et de l’Enfant, centre hospitalier universitaire, 8, avenue du Dr-Dominique-Larrey, 87000 Limoges, France 
b Service de réanimation pédiatrique, hôpital de la Mère et de l’Enfant, centre hospitalier universitaire, 8, avenue du Dr-Dominique-Larrey, 87000 Limoges, France 

Auteur correspondant.
Résumé

Les intoxications par les végétaux représentent 5 % des cas d’intoxications recensés par les centres antipoisons français. Nous rapportons un rare cas d’intoxication par la belladone (Atropa  belladona ) chez une enfant de 2ans. Celle-ci s’était présentée aux urgences avec un syndrome atropinique central et périphérique, après une ingestion de baies sauvages quelques heures auparavant. Les fruits et les feuilles apportées par la mère permettaient au centre antipoison contacté, au vu des signes cliniques, d’incriminer la belladone. L’enfant était admise en unité de soins intensifs pendant 48h, l’évolution a été favorable sous traitement symptomatique.

The full text of this article is available in PDF format.
Summary

Plant intoxications account for 5% of all intoxication cases according to French anti-poison centers. We report an uncommon case of intoxication with deadly nightshade (Atropa  belladonna ) in a 2-year-old child. The child presented at the ER with an atropinic syndrome, both central and peripheral, after ingestion of wild berries a few hours before. The fruit and leaves brought in by the mother allowed the anti-poison center to identify belladonna, in agreement with clinical findings. The child was kept in the intensive care unit for 48h and progression was favorable with symptomatic treatment.

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