Ricin: Difference between revisions

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==Background==
==Background==
*found in castor beans from the plant _Ricinus communis
*Found in castor beans from the plant ''Ricinus communis''
**a residual product of the production of castor oil (if properly prepared, does not contain the toxin)
**A residual product of the production of castor oil (if properly prepared, does not contain the toxin)


==Clinical Presentation==
==Clinical Features==
*depends on whether the exposure is parenteral, inhaled, or ingested.
*Depends on type of exposure (parenteral, inhaled, or ingested)
*The 1st symptoms of toxicity generally occur 6-12 hours after exposure but can occur as early as 3 hours.
*First symptoms occcur 3-12 hours after exposure  
* multiorgan failure occurred with a prominently elevated white blood cell count.  
*Multiorgan failure occurred with a prominently elevated white blood cell count.  
*acute lung injury  
*acute lung injury  
*Pulmonary edema may develop one to 3 days after exposure,  
*Pulmonary edema may develop one to 3 days after exposure,  


*sublethal and accidental exposures were said
to have occurred and were manifest 4-8 hours after exposure
**fever, cough, shortness of breath, and nausea.  
**fever, cough, shortness of breath, and nausea.  


*Chest x-ray would be expected to show bilateral infiltrates.
*symptoms and time to death were also dose
*symptoms and time to death were also dose
related and associated with alveolar flooding, fibropurulent
related and associated with alveolar flooding, fibropurulent
pneumonia, and necrotizing tracheitis. Death occurred 36 to 48 hours
pneumonia, and necrotizing tracheitis.  
after challenge following a 8-24 hour preclinical period.
*Death 36-48 hours after exposure


==Source==
==Differential Diagnosis==
Lutwick LI,Gradon J, Zellen J: Category B Biotoxins. In Lutwick LI, Lutwick SM (eds), Beyond Anthrax: Bioterror - The Weaponization of Infectious Diseases. Springer-Humana, New York, 2009, New York, pp. 181-206:
 
==Diagnosis==
*Chest x-ray = bilateral infiltrates
 
==Management==
 
==Disposition==
 
==See Also==
 
==External Links==
 
==References==
<references/>
*Lutwick LI,Gradon J, Zellen J: Category B Biotoxins. In Lutwick LI, Lutwick SM (eds), Beyond Anthrax: Bioterror - The Weaponization of Infectious Diseases. Springer-Humana, New York, 2009, New York, pp. 181-206:


[[Category:Tox]]
[[Category:Tox]]
[[Category:EMS]]
[[Category:EMS]]

Revision as of 02:00, 10 June 2015

Background

  • Found in castor beans from the plant Ricinus communis
    • A residual product of the production of castor oil (if properly prepared, does not contain the toxin)

Clinical Features

  • Depends on type of exposure (parenteral, inhaled, or ingested)
  • First symptoms occcur 3-12 hours after exposure
  • Multiorgan failure occurred with a prominently elevated white blood cell count.
  • acute lung injury
  • Pulmonary edema may develop one to 3 days after exposure,
    • fever, cough, shortness of breath, and nausea.
  • symptoms and time to death were also dose

related and associated with alveolar flooding, fibropurulent pneumonia, and necrotizing tracheitis.

  • Death 36-48 hours after exposure

Differential Diagnosis

Diagnosis

  • Chest x-ray = bilateral infiltrates

Management

Disposition

See Also

External Links

References

  • Lutwick LI,Gradon J, Zellen J: Category B Biotoxins. In Lutwick LI, Lutwick SM (eds), Beyond Anthrax: Bioterror - The Weaponization of Infectious Diseases. Springer-Humana, New York, 2009, New York, pp. 181-206: