Case Series About Atropa Belladonna (Deadly Nightshade) Intoxication and Experience of Physostigmine.

Atropa belladonna (deadly nightshade) is a poisonous herb that can be especially seen in Northern regions of our country and cause anticholinergic toxic syndrome (ATS) when consumed. ATS can be seen when consuming the plant which contains atropine or in overdose of psychoactive drugs containing atropine (such as antipsychotics, tricyclic antidepressants). A 65-year-old female patient was admitted to emergency service with the clinic of agitation, speech disorder and consciousness change. It was learned that she consumed atropa belladonna fruits about an hour ago. She was followed up with the diagnosis of ATS and treated with conservative approach. A 58-year-old male patient was admitted to the emergency servise due to impaired consciousness, agitation, difficulty in speaking, vomiting and fever. He also ate the same fruits with his relative, case 1. He also followed up with a diagnosis of ATS and treated with both conservative approach and physostigmine. Consuming atropa belladonna fruits and leaves can lead to ATS and life-threatening consequences can be seen in severe toxicity. Early diagnosis and treatment are important in prognosis. Physostigmine must be kept in mind in cases who does not benefit from conservative approach. [ABSTRACT FROM AUTHOR]