Oleander and Datura Poisoning: An Update
- PMID: 32020998
- PMCID: PMC6996654
- DOI: 10.5005/jp-journals-10071-23302
Oleander and Datura Poisoning: An Update
Abstract
India has a very high incidence of poisoning. While most cases are due to chemicals or drugs or envenomation by venomous creatures, a significant proportion also results from consumption or exposure to toxic plants or plant parts or products. The exact nature of plant poisoning varies from region to region, but certain plants are almost ubiquitous in distribution, and among these, Oleander and Datura are the prime examples. These plants are commonly encountered in almost all parts of India. While one is a wild shrub (Datura) that proliferates in the countryside and by roadsides, and the other (Oleander) is a garden plant that features in many homes. Incidents of poisoning from these plants are therefore not uncommon and may be the result of accidental exposure or deliberate, suicidal ingestion of the toxic parts. An attempt has been made to review the management principles with regard to toxicity of these plants and survey the literature in order to highlight current concepts in the treatment of poisoning resulting from both plants.
How to cite this article: Pillay VV, Sasidharan A. Oleander and Datura Poisoning: An Update. Indian J Crit Care Med 2019;23(Suppl 4):S250-S255.
Keywords: Cerbera; Datura; Nerium; Oleander; Plant poison; Thevetia.
Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.
Conflict of interest statement
Source of support: Nil Conflict of interest: None
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References
-
- Khajja BS, Sharma M, Singh R, Mathur GK. Forensic study of Indian toxicological plants as botanical weapon (BW): a Review. J Environ Anal Toxicol. 2011;1(3):112. doi: 10.4172/2161-0525.1000112. DOI: - DOI
-
- Nelson LS, Goldfrank LR. Plants. In: Nelson LS, Howland MA, Lewin NA, Smith SW, Goldfrank LR, Hoffman RS, editors. Goldfrank's Toxicologic Emergencies, 11th ed., USA: McGraw-Hill Education; 2019.
-
- Pillay VV. Modern Medical Toxicology, 4th ed., New Delhi: Jaypee Brothers Medical Publishers; 2013.
-
- Frohne D, Pfander HJ. Poisonous Plants, 2nd ed., Stuttgart, USA: Manson Publishing; 2005.
-
- Slaughter RJ, Beasley DMG, Lambie BS, Wilkins GT, Schep LJ. Poisonous plants in New Zealand: a review of those most commonly enquired about to the National Poisons Centre. N Z Med J. 2012;125(1367):87–118. - PubMed
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