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Medline ® Abstract for Reference 60

of 'Potentially toxic plant ingestions in children: Clinical manifestations and evaluation'

Angel trumpet lily poisoning in five adolescents: clinical findings and management.
Francis PD, Clarke CF
J Paediatr Child Health. 1999;35(1):93.
OBJECTIVE: To describe clinical features and management of Angel trumpet lily poisoning in adolescents.
METHODOLOGY: Case notes of five adolescent males who presented to the emergency department of a teaching hospital were reviewed.
RESULTS: All five boys ingested a mixture of coca-cola and a brew prepared by boiling the leaves and flowers of the plant. They presented to the emergency department with various degrees of agitation and confusion and specific clinical signs. All were treated with charcoal and cathartics and discharged after 36 h.
CONCLUSIONS: Due to its hallucinogenic effects, abuse of Angel trumpet lily is not uncommon and should be suspected in adolescents presenting with altered mental state and hallucinations in conjunction with other anticholinergic symptoms and signs.
Adolescent Medical Unit, Monash Medical Centre, Clayton, Victoria, Australia.