Grayanotoxin에 의한 중독은 대부분 보존적 치료만으로도 완전히 회복되는 경우가 많기 때문에 이를 감별하는 것이 중요하다. 저자들은 산에서 철쭉꽃을 10송이 넘게 섭취 후 의식저하를 주소로 응급실에 내원한 9세 남자 환자를 진단하고 치료하였기에 문헌고찰과 함께 보고하는 바이다.
Rhododendron species is one of the largest and most diverse genera in the plant kingdom, comprising over 800 species and existing all over the globe. Grayanotoxin intoxication is caused by ingestion of honey and flowers. Grayanotoxin exists in honey, flowers, pollen, and nectar of the Rhododendron species. Grayanotoxin-intoxicated patients may present with nausea, vomiting, dizziness, weakness, hypotension, bradycardia, and syncope for several hours. We report a case of grayanotoxin intoxication associated with mental changes. A 9-year-old male presented with impaired consciousness and delirium 26 hours after eating about 10 rhododendron sclippenbachii flowers. A brain MRI and EEG were normal. Parenteral fluids were administered and these symptoms resolved completely in 17 hours.
