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</div><div><span>Black nightshade poisoning</span></div></div>
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<article><div id="d-article"><div class="page-info"><div class="page-title"><a name="start" id="start">
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</a><h1 class="with-also" itemprop="name">Black nightshade poisoning</h1>
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</noscript></div><div class="main"><div id="ency_summary"><p>Black nightshade poisoning occurs when someone eats pieces of the black nightshade plant.</p><p>This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call your local emergency number (such as 911), or your local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.</p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>Poisonous Ingredient</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>The poisonous ingredients are:</p><ul><li>Atropine</li><li>Solanine (which is very poisonous, even in small amounts) </li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Where Found</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>Poisons are found in the black nightshade plant, especially in the unripened fruit and leaves.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Symptoms</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>Black nightshade poisoning can affect many areas of the body.</p><p>EYES, EARS, NOSE, MOUTH, AND THROAT </p><ul><li>Dry mouth</li><li>Enlarged (dilated) pupils </li></ul><p>STOMACH AND INTESTINES</p><ul><li>Diarrhea</li><li>Stomach pain</li><li>Vomiting </li></ul><p>HEART AND BLOOD </p><ul><li><a test="test" href="./003081.htm">Pulse -- slow</a></li><li>
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Low blood pressure (<a test="test" href="./000039.htm">shock</a>)</li></ul><p>LUNGS</p><ul><li><a test="test" href="./000007.htm">Slowed breathing</a></li></ul><p>NERVOUS SYSTEM</p><ul><li><a test="test" href="./000740.htm">Delirium</a> (agitation and confusion)</li><li><a test="test" href="./003258.htm">Hallucinations</a></li><li>Headache</li><li><a test="test" href="./003206.htm">Loss of sensation</a></li><li><a test="test" href="./003190.htm">Paralysis</a></li></ul><p>WHOLE BODY</p><ul><li>Sweating or dry skin</li><li>Elevated body temperature (hyperthermia)</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Home Care</h2></div><div class="section-button"><button type="submit" aria-controls="section-4" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-4"><p>Seek immediate medical help. DO NOT make a person throw up unless told to do so by poison control or a health care provider.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Before Calling Emergency</h2></div><div class="section-button"><button type="submit" aria-controls="section-5" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-5"><p>Get the following information:</p><ul><li>Person's age, weight, and condition</li><li>Name and part of the plant that was swallowed, if known </li><li>Time it was swallowed</li><li>Amount swallowed</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Poison Control</h2></div><div class="section-button"><button type="submit" aria-controls="section-6" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-6"><p>Your local <a test="test" href="./002724.htm">poison control center</a> can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States. This national hotline will let you talk to experts in poisoning. They will give you further instructions.</p><p>This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. It does not need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>What to Expect at the Emergency Room</h2></div><div class="section-button"><button type="submit" aria-controls="section-7" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-7"><p>The provider will measure and monitor the person's vital signs, including temperature, pulse, breathing rate, and blood pressure. Symptoms will be treated as appropriate. The person may receive:</p><ul><li>Activated charcoal</li><li>Blood and urine tests</li><li>Breathing support, including oxygen through a tube through the mouth into the lungs, and a breathing machine (ventilator)</li><li>Chest x-ray</li><li>ECG (electrocardiogram, or heart tracing)</li><li>Fluids through a vein (IV)</li><li>Medicines to treat symptoms and reverse the effects of the poison (antidote)</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Outlook (Prognosis)</h2></div><div class="section-button"><button type="submit" aria-controls="section-8" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-8"><p>How well you do depends on the amount of poison swallowed and how quickly treatment is received. The faster you get medical help, the better the chance for recovery.</p><p>Symptoms last for 1 to 3 days and may require a hospital stay. Death is unlikely.</p><p>DO NOT touch or eat any unfamiliar plant. Wash your hands after working in the garden or walking in the woods.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>Nightshade poisoning; Morelle noire poisoning; Wonderberry poisoning</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>References</h2></div><div class="section-button"><button type="submit" aria-controls="section-Ref" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>Auerbach PS, Constance BB, Freer L. Toxic plants. In: Auerbach PS, Constance BB, Freer L, eds. <em>Field Guide to Wilderness Medicine. </em>5th ed. Philadelphia, PA: Elsevier; 2019:chap 40.</p><p>Graeme KA. Toxic plant ingestions. In: Auerbach PS, Cushing TA, Harris NS, eds. <em>Auerbach's Wilderness Medicine.</em> 7th ed. Philadelphia, PA: Elsevier; 2017:chap 65.</p><p>Higgins T. Wild plant and mushroom poisoning. In: Higgins T, ed. <em>Medicine for the Outdoors</em>. 7th ed. Philadelphia, PA: Elsevier; 2024:422-430.</p><p>Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Nonbacterial food poisoning. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. <em>Nelson Textbook of Pediatrics.</em> 21st ed. Philadelphia, PA: Elsevier; 2020:chap 740.</p></div></div></section>
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<section><div class="section"><div class="section-header"><div class="section-title"><h2>Review Date 11/2/2023</h2></div><div class="section-button"><button type="submit" aria-controls="section-version" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<div id="section-version" class="section-body"><p>Updated by: Jesse Borke, MD, CPE, FAAEM, FACEP, Attending Physician at Kaiser Permanente, Orange County, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.</p>
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