Objective: To describe clinical features and management of Angel trumpet li
ly poisoning in adolescents.
Methodology: Case notes of five adolescent males who presented to the emerg
ency department of a teaching hospital were reviewed.
Results: Ail five boys ingested a mixture of coca-cola and a brew prepared
by boiling the leaves and flowers of the plant. They presented to the emerg
ency department with various degrees of agitation and confusion and specifi
c clinical signs. All were treated with charcoal and cathartics and dischar
ged after 36 h.
Conclusions: Due to its hallucinogenic effects, abuse of Angel trumpet lily
is not uncommon and should be suspected in adolescents presenting with alt
ered mental state and hallucinations in conjunction with other anticholiner
gic symptoms and signs.