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CLINICAL CASES Free access
Minerva Anestesiologica 1998 December;64(12):567-73
Copyright © 1999 EDIZIONI MINERVA MEDICA
language: Italian
Atropine poisoning. Importance of the clinical diagnosis
Giubelli D. 1, Conti L. 2, Bott A. 1, Cancellieri F. 1, Vetrò A. 1, Bacis G. 3, Corino T. 1, Moro D. 1
1 Ospedale S. Paolo, Milano, Servizio di Anestesia e Rianimazione; 2 Ospedale Niguarda Ca’ Granda, Milano, I Servizio di Anestesia e Rianimazione; 3 SSU Em 118; 4 Centro Antiveleni
A case of suspected high dose atropine poisoning is described. In a veterinary good healthed young man the appearance of light coma with psychomotor agitation and the contemporary presence of evident symptoms of muscarinic peripheral block, suggesting an anticholinergic syndrome, an atropine-like intoxication in absence of toxicological analysis. The safely clinical course of the poisoning during observation in intensive care unit permitted the discharge of the patient without sequelae and without treatment with physostigmine as antidote.