Neuromuscular blockade after ingestion of tree tobacco (Nicotiana glauca)

L. B. Mellick, T. Makowski, G. A. Mellick, R. Borger

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Two patients presented with life-threatening motor paresis after ingestion of leaves from the tree tobacco plant (Nicotiana glauca). In addition to severe muscle weakness, bulbar palsies, flexor muscle spasm, hypertension, nausea, vomiting, and respiratory compromise were reported or observed. These are the fourth and fifth reported cases of a toxicologic emergency apparently caused by the alkaloid, anabasine, an isomer of nicotine found in the tobacco tree plant. The effects of this plant ingestion can mimic other better-known causes of paresis or paralysis. In areas of the country where the plant is indigenous, this toxicologic condition should be considered in the differential diagnosis of patients presenting with paresis or paralysis.

Original languageEnglish (US)
Pages (from-to)101-104
Number of pages4
JournalAnnals of Emergency Medicine
Volume34
Issue number1
DOIs
StatePublished - Jan 1 1999

Fingerprint

Neuromuscular Blockade
Tobacco
Paresis
Eating
Paralysis
Anabasine
Progressive Bulbar Palsy
Muscle Weakness
Spasm
Nicotine
Alkaloids
Nausea
Vomiting
Emergencies
Differential Diagnosis
Hypertension

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Neuromuscular blockade after ingestion of tree tobacco (Nicotiana glauca). / Mellick, L. B.; Makowski, T.; Mellick, G. A.; Borger, R.

In: Annals of Emergency Medicine, Vol. 34, No. 1, 01.01.1999, p. 101-104.

Research output: Contribution to journalArticle

Mellick, L. B. ; Makowski, T. ; Mellick, G. A. ; Borger, R. / Neuromuscular blockade after ingestion of tree tobacco (Nicotiana glauca). In: Annals of Emergency Medicine. 1999 ; Vol. 34, No. 1. pp. 101-104.
@article{2d37959eb9c348af886c094046a9b48c,
title = "Neuromuscular blockade after ingestion of tree tobacco (Nicotiana glauca)",
abstract = "Two patients presented with life-threatening motor paresis after ingestion of leaves from the tree tobacco plant (Nicotiana glauca). In addition to severe muscle weakness, bulbar palsies, flexor muscle spasm, hypertension, nausea, vomiting, and respiratory compromise were reported or observed. These are the fourth and fifth reported cases of a toxicologic emergency apparently caused by the alkaloid, anabasine, an isomer of nicotine found in the tobacco tree plant. The effects of this plant ingestion can mimic other better-known causes of paresis or paralysis. In areas of the country where the plant is indigenous, this toxicologic condition should be considered in the differential diagnosis of patients presenting with paresis or paralysis.",
author = "Mellick, {L. B.} and T. Makowski and Mellick, {G. A.} and R. Borger",
year = "1999",
month = "1",
day = "1",
doi = "10.1016/S0196-0644(99)70280-5",
language = "English (US)",
volume = "34",
pages = "101--104",
journal = "Annals of Emergency Medicine",
issn = "0196-0644",
publisher = "Mosby Inc.",
number = "1",

}

TY - JOUR

T1 - Neuromuscular blockade after ingestion of tree tobacco (Nicotiana glauca)

AU - Mellick, L. B.

AU - Makowski, T.

AU - Mellick, G. A.

AU - Borger, R.

PY - 1999/1/1

Y1 - 1999/1/1

N2 - Two patients presented with life-threatening motor paresis after ingestion of leaves from the tree tobacco plant (Nicotiana glauca). In addition to severe muscle weakness, bulbar palsies, flexor muscle spasm, hypertension, nausea, vomiting, and respiratory compromise were reported or observed. These are the fourth and fifth reported cases of a toxicologic emergency apparently caused by the alkaloid, anabasine, an isomer of nicotine found in the tobacco tree plant. The effects of this plant ingestion can mimic other better-known causes of paresis or paralysis. In areas of the country where the plant is indigenous, this toxicologic condition should be considered in the differential diagnosis of patients presenting with paresis or paralysis.

AB - Two patients presented with life-threatening motor paresis after ingestion of leaves from the tree tobacco plant (Nicotiana glauca). In addition to severe muscle weakness, bulbar palsies, flexor muscle spasm, hypertension, nausea, vomiting, and respiratory compromise were reported or observed. These are the fourth and fifth reported cases of a toxicologic emergency apparently caused by the alkaloid, anabasine, an isomer of nicotine found in the tobacco tree plant. The effects of this plant ingestion can mimic other better-known causes of paresis or paralysis. In areas of the country where the plant is indigenous, this toxicologic condition should be considered in the differential diagnosis of patients presenting with paresis or paralysis.

UR - http://www.scopus.com/inward/record.url?scp=0032984123&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032984123&partnerID=8YFLogxK

U2 - 10.1016/S0196-0644(99)70280-5

DO - 10.1016/S0196-0644(99)70280-5

M3 - Article

VL - 34

SP - 101

EP - 104

JO - Annals of Emergency Medicine

JF - Annals of Emergency Medicine

SN - 0196-0644

IS - 1

ER -