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Intoxication with angel’s trumpet
  1. Yosuke Tanaka,
  2. Akira Kuriyama
  1. Emergency and Critical Care Center, Kurashiki Central Hospital, Kurashiki, Okayama, Japan
  1. Correspondence to Dr Akira Kuriyama, Emergency and Critical Care Center, Kurashiki Central Hospital, Kurashiki 710-8602, Japan; ak13568{at}kchnet.or.jp

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A 78-year-old man presented with acute altered mental status, with a Glasgow Coma Scale score of 14 (E4 V4 M6). His bilateral pupils were dilated with a sluggish pupillary response to light. His serum glucose, electrolytes and ammonium levels were normal, but his QTc (0.51 ms) was prolonged. Fluid-attenuated recovery MRI showed small high-signal intensity lesions in the right insula (figure 1A) and bilateral temporal lobes (figure 1B) of the brain. All symptoms subsided within the day of …

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Footnotes

  • Contributors Both authors looked after the patient, wrote the draft and approved the submission of the manuscript. AK serves as a guarantor for this article.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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