BALDIRAN OTU ZEHIRLENMESINE BAĞLI ÖLÜM: OLGU SUNUMU
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Tarih
2013
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info:eu-repo/semantics/openAccess
Özet
Baldıran, beyaz çiçekleri olan kötü kokulu, otsu bir bitki olup, maydanozgiller ailesinin uzun ömürlü bir üyesidir. Latince Conium macalatum (Hemlock) olarak adlandırılan bu ot halk arasında ağuotu, hırhındilik kö- rek, şemsiye otu, yılan otu gibi değişik isimlerle bilinmektedir. Üzerindeki kırmızı-erguvan lekeleri yüzünden lekeli baldıran da denilmektedir. Ülkemizin hemen her yöresindeki dağlarda, orman ve sulak alanlarda, sulak yamaçlarda bulunabilen bu bitki hem insanlar ve hem de hayvanlarda şiddetli zehirlenmelere neden olmaktadır. Baldıran bitkisinin tümü zehirli olmakla birlikte özellikle genç yaprakları, tohum ve meyveleri diğer kısımlarından daha zehirlidir. Erzurum yöresinde gövdesi ve kabuğu soyulduktan sonra yenilen ve turşusu yapılan kimi bitkisiyle karıştırıldığından sık olarak zehirlenmeye neden olmaktadır. Ayrıca, baldıranın maydanoz veya Frenk maydanozu sanılarak yenilmesi sonrasında da zehirlenmeler görülmektedir. Ülkemizde şifalı bitkilere yoğun ilgi duyulmakta ve bu ilgi günden güne artmaktadır. Bu türden bitkiler, çoğu zaman başkasının tavsiyesi üzerine tedavi amaçlı olarak bilinçsizce kullanılmaktadır. Bu bilinçsizce kullanım şifa ararken ölümle neticelenen trajik sonuçlara neden olabilmektedir. Bu olgu sunumunda bitkilerin tedavi maksadıyla uygunsuz kullanımına dikkatleri çekmek, Adli Tıp Kurumu Morg İhtisas Dairesi'nde otopsisi yapı- lan ve baldıran otu zehirlenmesine bağlı ölüm kararına varılan 42 yaşında kadın olguya ait otopsi bulguları sunularak bu nadir görülen zehirlenme olgusunun paylaşılması amaçlanmıştır.
Hemlock is a malodorous herbaceous plant with white flowers and it is a perennial member of the Umbelliferae (parsley) family. It is called as Conium macalatum (Hemlock) in Latin and it is known colloquially with various names like poison hemlock, gentian (in Turkish: ağuotu, hırhındilik körek, şemsiye otu, yılan otu). It is also called as spotted hemlock due to red-purple spots on it. This plant which can be found in the mountains, forests, wetland areas and wet slopes of every region of our country causes severe poisonings in both humans and animals. Although all parts of the hemlock plant is poisonous, particularly the young leaves, fruits and seeds of the hemlock plant is more poisonous than the other parts. Since it is confused with "kimi" plant, a plant which is eaten after peeling of the stem and shell and pickled in the vicinity of Erzurum, frequently causes poisoning. Additionally, poisonings are seen also after eating by confusing hemlock with parsley and wild chervil. In our country, medicinal herbs attract a great deal of attention and this interest is steadily growing. These kinds of plants are used unconsciously with therapeutic goals frequently upon the advice of others. Such inappropriate use can cause tragic outcomes resulting in death while seeking cure. In this case presentation, it has been aimed to call attention to inappropriate use of herbs with therapeutic goals and to share this rare case of poisoning by presenting the autopsy findings of a 42-year-old female, for whom the autopsy was performed in the Council of Forensic Medicine Morgue Department, and adjudged to have died from Hemlock poisoning.
Hemlock is a malodorous herbaceous plant with white flowers and it is a perennial member of the Umbelliferae (parsley) family. It is called as Conium macalatum (Hemlock) in Latin and it is known colloquially with various names like poison hemlock, gentian (in Turkish: ağuotu, hırhındilik körek, şemsiye otu, yılan otu). It is also called as spotted hemlock due to red-purple spots on it. This plant which can be found in the mountains, forests, wetland areas and wet slopes of every region of our country causes severe poisonings in both humans and animals. Although all parts of the hemlock plant is poisonous, particularly the young leaves, fruits and seeds of the hemlock plant is more poisonous than the other parts. Since it is confused with "kimi" plant, a plant which is eaten after peeling of the stem and shell and pickled in the vicinity of Erzurum, frequently causes poisoning. Additionally, poisonings are seen also after eating by confusing hemlock with parsley and wild chervil. In our country, medicinal herbs attract a great deal of attention and this interest is steadily growing. These kinds of plants are used unconsciously with therapeutic goals frequently upon the advice of others. Such inappropriate use can cause tragic outcomes resulting in death while seeking cure. In this case presentation, it has been aimed to call attention to inappropriate use of herbs with therapeutic goals and to share this rare case of poisoning by presenting the autopsy findings of a 42-year-old female, for whom the autopsy was performed in the Council of Forensic Medicine Morgue Department, and adjudged to have died from Hemlock poisoning.
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