4th Pediatric Infectious Diseases Conference

 
 
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POISIONING CENTER
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FIND DIAGNOSIS
FIND DIAGNOSIS
FIND DIAGNOSIS
POISIONING CENTER
 
Semecarpis Anacardium
 
Marking nuts {bhilawa} are black, heart-shaped with rough protection at the base. They have a thick, cellular pericarp` which contains an irritant juice which is brownish, oily and acrid but turns brown on exposure to air. The active principles are semicarpol and bhilawanol.

Route : Contact, Ingestion

Fatal dose : 5- 10 g.

Fatal Period : 12 to 24 hours.

Clinical picture : Applied externally, the juice causes irritation and a painful blister which contains acrid serum, which produces eczematous eruptions of the neighbouring skin with which it comes into contact, and there is itching. The lesion resembles a bruise. Later, an ulcer is produced and there may be sloughing.
When taken by mouth, the juice causes less irritant action. In a large dose, it produces blisters on the throat and severe gastrointestinal irritation, dyspnoea, tachycardia, hypotension, cyanosis, absence of reflexes, delirium, coma and death.


Treatment : On general lines

 
 
 
 
Pedi Poll
Today’s Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
 
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