Francisco Varela
Instituto de Investigaciones Neurológicas Raúl Carrea,
FLENI, Montañeses 2325, Buenos Aires
Argentina
Case Report
Pupillary Disorders in the Emergency Room: Lupinus mutabilis Intoxication
Author(s): Lucas Alessandro, Leah Wibecan, Angel Cammarota and Francisco VarelaLucas Alessandro, Leah Wibecan, Angel Cammarota and Francisco Varela
Lupinus mutabilis (LM) is a widespread species of lupin whose bean is consumed not only for its high caloric value but also as a homeopathic medicine, used for a diverse range of presumed clinical properties, including as an analgesic and an antidiabetic. The properties of lupine alkaloids are responsible for their anticholinergic toxicity in both the autonomic nervous system and the central nervous system (CNS). As this syndrome may vary in severity, lupinus toxicity should be suspected in patients with isolated symptoms as well, such as hyporeactive mydriasis.
We present a case of a 48-year-old male patient presented to emergency department complaining about blurred vision, dizziness and palpitations. Physical examination only reveal hyporeactive mydriasis. Urine drug screening was negative and labs were otherwise within normal ranges. Brain Computed Tomography did not ide.. View More»
