Toxicity of Salvia officinalis in a newborn and a child: an alarming report.

Although it is widely believed that herbal products are beneficial to the health, some herbal products can result in serious adverse effects, such as epileptic seizures, especially in children who are particularly susceptible. Sage oil contains well-known convulsant substances such as thujone, camphor, and cineole in different proportions. We report 2 cases, those of a newborn and a toddler, who experienced generalized tonic-clonic seizures after accidental exposure to sage oil. No other causes of seizure were detected by our clinical inquiries in either of the patients. The seizures occurred as an isolated event in the toddler, but in a repeated manner in the newborn; both patients experienced good outcomes. In any case of a first seizure of unexplained origin, the possibility of exposure to a herbal product should be kept in mind. Parents should be informed about the pros and cons of these untested remedies, which are presented as an alternative to conventional medicine.

[Poisoning by anis oil]. / Forgiftning med anisolie.

Essential oils are used widespread by the Danish population. In Denmark a severe case of poisoning from anis oil has occurred.

Composición química y efecto letal del aceite esencial de Pimenta racemosa (Myrtales: Myrtaceae) sobre Blattella germanica (Dictyoptera: Blattellidae) / Chemical composition and lethal effect of essential oil from Pimenta racemosa (Myrtales: Myrtaceae) on Blatella germanica (Dictyoptera: Blattellidae

Se examinó mediante un análisis GC y GC-MS (cromatografía gaseosa-espectrometría de masa), el aceite esencial extraído de hojas de Pimenta racemosa (Mill.) J.W. Moore (Myrtales: Myrtaceae). Se identificaron un total de 26 compuestos volátiles que representaron 99,5 por ciento de la composición total; los de mayor proporción resultaron el terpinen-4-ol y 1,8-cineol. Se realizaron bioensayos al nivel de laboratorio con 5 dosificaciones de este aceite sobre la cucaracha Blattella germanica, se encontraron valores de DL50= 15,55 por ciento y DL95= 48,16 por ciento mediante un análisis probit-log, así como una dosis diagnóstica de 2 µg/insecto del aceite a 50 por ciento, que se propone para la vigilancia en el terreno del uso de formulaciones en programas de lucha contra este insecto.

Gas chromatography test and Gas chromatography/mass spectrometry test allowed examining the essential oil from Pimenta racemosa leaves (Mill.) J.W. Moore (Myrtales: Myrtaceae). A total of 26 volatile compounds representing 99.5 percent of the whole composition were identified, being ternipen 4-ol and 1,8 cineol those having the largest portions. Lab bioassays were performed with 5 different oil doses on Blattella germanica. DL50=15.55 and DL95=48.16 percent were estimated by a probit-log analysis as well as diagnostic dose of 2 µg/insect of 50 percent oil that is recommended for field surveillance of the use of various formulations in insect control programs.

Genotoxicity associated to exposure to Prestige oil during autopsies and cleaning of oil-contaminated birds.

After the accident involving the oil tanker Prestige in November 2002 near 63,000 tons of heavy oil reached Galician coast (Northwest of Spain). This unleashed a large movement of volunteers to collaborate in several cleaning tasks. The aim of this study was to determine whether handling of Prestige oil-contaminated birds during autopsies and cleaning may have resulted in genotoxic damage. We have also evaluated the possible influence of DNA repair genetic polymorphisms (XRCC1 codons 194 and 399, XRCC3 codon 241 and APE1 codon 148) on susceptibility to the genotoxic effects evaluated. Exposure levels were analysed by determining volatile organic compounds in air samples. Peripheral blood samples were obtained from 34 exposed and 35 controls, and comet assay and micronucleus (MN) test were carried out. Genotyping was performed following PCR-RFLP procedures. Results obtained have shown significantly higher DNA damage, but not cytogenetic damage, in exposed individuals than in controls, related to time of exposure. Among exposed individuals, carriers of the variant alleles XRCC1 399Gln and APE1 148Glu have shown altered DNA damage with regard to wild-type homozygotes, suggesting exposure-genotype interactions. No effect of the DNA repair genetic polymorphisms analysed was observed in the MN test.

Essential oil poisoning: N-acetylcysteine for eugenol-induced hepatic failure and analysis of a national database.

UNLABELLED: We present a 15-month-old boy who developed fulminant hepatic failure after ingesting 10 ml of clove oil. After 24 h, the ALT level was in excess of 13,000 U/l, with blood urea and creatinine of 11.8 mmol and 134 micromol/l respectively. The hepatic impairment resolved after intravenous administration of N-acetylcysteine so that 6 h later, the ALT level was approximately 10,000 U/l. His liver synthetic function and clinical status improved over the next 4 days. This is the first such case report of its kind in Europe. Analysis of a national database revealed a 14-fold increase in home accidents related to aromatherapy from 1994-1999. Clove oil has important hepatotoxic effects. CONCLUSION: Recent growth in aromatherapy sales has been accompanied by an unfortunate increase in accidental poisoning from these products. Clove oil warrants special attention. Ingesting as little as 10 ml causes hepatotoxicity which can be treated with N-acetylcysteine.

Mitigation of pennyroyal oil hepatotoxicity in the mouse.

OBJECTIVES: Pennyroyal oil ingestion has been associated with severe hepatotoxicity and death. The primary constituent, R-(+)-pulegone, is metabolized via hepatic cytochrome P450 to toxic intermediates. The purpose of this study was to assess the ability of the specific cytochrome P450 inhibitors disulfiram and cimetidine to mitigate hepatotoxicity in mice exposed to toxic levels of R-(+)-pulegone. METHODS: 20-g female BALB/c mice were pretreated with either 150 mg/kg of cimetidine intraperitoneal (IP), 100 mg/kg of disulfiram IP, or both. After one hour, mice were administered 300 mg/kg of pulegone IP and were killed 24 hours later. Data were analyzed using ANOVA. Post-hoc t-tests used Bonferroni correction. RESULTS: There was a tendency for lower serum glutamate pyruvate transaminase in the disulfiram and cimetidine groups compared with the R-(+)-pulegone group. The differences were significant for both the cimetidine and the combined disulfram and cimetidine groups compared with the R-(+)-pulegone group. Pretreatment with the combination of disulfiram and cimetidine most effectively mitigated R-(+)-pulegone-induced hepatotoxicity. CONCLUSIONS: Within the limitations of a pretreatment animal model, the combination of cimetidine and disulfiram significantly mitigates the effects of pennyroyal toxicity and does so more effectively than either agent alone. These data suggest that R-(+)-pulegone metabolism through CYP1A2 appears to be more important in the development of a hepatotoxic metabolite than does metabolism via CYP2E1.

Kangaroos avoid eating seedlings with or near others with volatile essential oils.

Preliminary studies indicate that western grey kangaroos browse seedlings of non-Myrtaceae species rather than Myrtaceae. Seven morphologically-matched species pairs of Myrtaceae/non-Myrtaceae placed at three field sites showed that kangaroos avoided the essential-oil-containing Myrtaceae, but readily consumed the matched essential-oil-lacking non-Myrtaceae. The one exception (Pittosporaceae) had limited herbivory and was later found to possess two essential oils in its leaves. Gas chromatography and mass-spectra showed the seven Myrtaceae plants contain between 2 and 9 essential oils in their leaves, particularly the highly volatile monoterpene, 2,5-dimethyl-3-methylene-1,5-heptadine. Three of the above species pairs were used to gauge their effectiveness as nurse plants for a highly palatable legume. Plants placed beside Myrtaceae nurse plants were less browsed than those placed beside non-Myrtaceae nurse plants. We conclude that western grey kangaroos use olfactory cues to avoid foliage containing potentially toxic essential oils, and that this also has implications for seedling recruitment patterns in regenerating communities.

Effects of volatile oil constituents of Nigella sativa on carbon tetrachloride-induced hepatotoxicity in mice: evidence for antioxidant effects of thymoquinone.

Effects of the volatile oil constituents of Nigella sativa, namely, thymoquinone (TQ), p-cymene and alpha-pinene, on carbon tetrachloride (CCl4-indued acute liver injury were investigated in mice. A single dose of CCl4 (15 microl/Kg i.p.) induced hepatotoxicity 24 h after administration manifested biochemically as significant elevation of the enzymes activities of serum alanine transaminase (ALT, EC:2.6.1.2), asparate transaminase (AST, EC:2.6.1.1) and lactate dehydrogenase (LDH, EC: 1.1.1.27). The toxicity was further evidenced by a significant decrease of non-protein sulfhydryl(-SH) concentration, and a significant increase of lipid peroxidation measued as malondialdhyde (MDA) in the liver tissues. Administration of different doses of the TQ (4, 8, 12.5, 25 and 50 mg/Kg i.p.) did not alter the chosen biochemical parameters measured, while higher doses of TQ were lethal. The LD50 was 90.3 mg/Kg (77.9-104.7, 95% CL). Pretreatment of mice with different doses of TQ 1 h before CCl4 injection showed that the only dose of TQ that ameliorated hepatotoxicity of CCl4 was 12.5 mg/Kg i.p. as evidenced by the significant reduction of the elevated levels of serum enzymes as well as hepatic MDA content and significant increase of the hepatic nonprotein sulfhydryl(-SH) concentration. Treatment of mice with the other volatile oil constituents, p-cymene or alpha-pinene did not induce any changes in the serum ALT measured. In addition, i.p. administration of these compounds 1 h before CCl4 injection, did not protect mice against CC4-induced hepatotoxicity. The results of the present study indicate that TQ (12.5 mg/Kg, i.p.) may play an important role as antioxidant and may efficiently act as a protective agent against chemically-induced hepatic damage. In contrast, higher doses of TQ were found to induce oxidative stress leading to hepatic injury.

Multiple organ failure after ingestion of pennyroyal oil from herbal tea in two infants.

BACKGROUND: Hepatic and neurologic injury developed in two infants after ingestion of mint tea. Examination of the mint plants, from which the teas were brewed, indicated that they contained the toxic agent pennyroyal oil. METHODS: Sera from each infant were analyzed for the toxic constituents of pennyroyal oil, including pulegone and its metabolite menthofuran. RESULTS: Fulminant liver failure with cerebral edema and necrosis developed in the first infant, who died. This infant was positive only for menthofuran (10 ng/mL). In the other infant, who was positive for both pulegone (25 ng/mL) and menthofuran (41 ng/mL), hepatic dysfunction and a severe epileptic encephalopathy developed. CONCLUSION: Pennyroyal oil is a highly toxic agent that may cause both hepatic and neurologic injury if ingested. A potential source of pennyroyal oil is certain mint teas mistakenly used as home remedies to treat minor ailments and colic in infants. Physicians should consider pennyroyal oil poisoning as a possible cause of hepatic and neurologic injury in infants, particularly if the infants may have been given home-brewed mint teas.

Melaleuca oil poisoning in a 17-month-old.

Ingestion of significant quantities of Melaleuca oil or Australian tea tree oil has been described only once in the medical literature. This report describes a 17-mo-old male who ingested less than 10 ml of the oil and developed ataxia and drowsiness. Emergency physicians, poison control personnel and pediatricians should be aware of potential toxicity from this product.