Terpene Toxicity Clinical Presentation
- Author: John Said Kashani, DO; Chief Editor: Asim Tarabar, MD more...
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- Respiratory symptoms from aspiration may occur early.
- A careful examination of the chest and lungs is essential. CNS depression may occur early in the ingestion of a concentrated product or large ingestion.
- Seizures may occur early in exposure and tend to be single and self-limited.
- Cardiac arrhythmias have been reported; however, vital signs are usually normal.
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- Most exposures are the result of an unintentional ingestion.
- Some subcultures of society continue to use turpentine as an antihelminthic, purgative, and general elixir of good health. This practice may produce the potentially disastrous situation where the product is available and considered to be innocuous.
- Camphorated oil often is supplied in small bottles that closely resemble castor oil. The bottles may be kept on pharmacy or grocery store shelves next to each other so that an individual with vision impairment may easily choose the incorrect preparation.
- A case report described camphor toxicity in a 35-year-old Cambodian male with diarrhea, vomiting, and altered mental status. He was described as having parallel and symmetric ecchymotic streaks on his back as a result "coining". In this case, toxicity occurred by the application of camphor to the skin prior to coining. Toxicity occurred presumably by transcutaneous absorption.
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