328295

Pattern, Clinical Characteristics and Outcome in Cases of Castor and Croton Seeds Ingestion: Six Year's Retrospective Study at Tanta University Poison Control Centre

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Last updated: 04 Jan 2025

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Abstract

Background: The consumption of herbal medicine to address health issues has gained a great attention since years till now. Castor and croton seeds are well-known by their therapeutic values, however intoxication by their ingestion could produce significant toxicities and even fatalities. Aim of the work: This study aimed to investigate the pattern, clinical characteristics and outcomes in cases of castor and croton seeds ingestion admitted to TUPCC. Patient and Method: This retrospective study involved 27 cases of castor and croton seeds ingestion from start of 2017 to the end of 2022. All demographic, clinical and laboratory data of cases were reported. Outcomes in all cases were additionally recorded. Results: The majority of patients (63%) were unintentionally intoxicated children by castor seeds, unlike most of adults ingested croton seeds for therapeutic intention. Overall, gastrointestinal manifestations and dehydration were the most frequent. Oral burning sensation was significantly-linked to croton seed ingestion. Aspartate transaminase and blood urea were significantly elevated in pediatrics. Furthermore, high leukocytic count, electrolyte disturbance, metabolic acidosis, hypoglycemia, and elevated creatinine phosphokinase were reported. Castor seeds ingestion showed more ECG abnormalities. Overall, 33.3% of patients were ICU admitted, yet all patients had favorable prognosis. Conclusions and Recommendations: Ingestion of more seeds results in more severe toxicity. The long hospital stays and long lag to reach a health facility were significantly correlated with the severity of toxicity. The most effective approach to prevent unintentional toxic seeds ingestion is to raise public awareness about the harmful plants with everyone, especially children caregivers.

DOI

10.21608/esctj.2023.242421.1042

Keywords

Castor, croton, toxicity, pattern, Outcome

Authors

First Name

Nadia

Last Name

Helal

MiddleName

E.

Affiliation

Forensic Medicine and Clinical Toxicology Department, Faculty of Medicine, Tanta University, Tanta, Egypt

Email

dr_nadia_helal86@yahoo.com

City

-

Orcid

0000-0002-4998-7331

First Name

Sohair

Last Name

Hasan

MiddleName

F.

Affiliation

Department of Emergency Medicine and Traumatology, Faculty of Medicine, Tanta University, Tanta, Egypt

Email

sohair.fouad@med.tant.edu.eg

City

tanta

Orcid

0000-0002-3773-3107

First Name

Samah

Last Name

Elbastawesy

MiddleName

M.

Affiliation

Lecturer of Forensic Medicine and Clinical Toxicology, Faculty of Medicine – Tanta University

Email

doctor_samahmaher@yahoo.com

City

Tanta

Orcid

0000-0001-5626-3203

Volume

11

Article Issue

2

Related Issue

44593

Issue Date

2023-12-01

Receive Date

2023-10-14

Publish Date

2023-12-01

Page Start

48

Page End

62

Print ISSN

2356-6515

Online ISSN

2356-6523

Link

https://esctj.journals.ekb.eg/article_328295.html

Detail API

https://esctj.journals.ekb.eg/service?article_code=328295

Order

328,295

Type

Original Article

Type Code

1,098

Publication Type

Journal

Publication Title

Egyptian Society of Clinical Toxicology Journal

Publication Link

https://esctj.journals.ekb.eg/

MainTitle

Pattern, Clinical Characteristics and Outcome in Cases of Castor and Croton Seeds Ingestion: Six Year's Retrospective Study at Tanta University Poison Control Centre

Details

Type

Article

Created At

25 Dec 2024