Jerusalem cherry poisoning

Definition

The Jerusalem cherry is a plant that belongs to the same family as the deadly nightshade. It has small, round red and orange fruit. Jerusalem cherry poisoning occurs when someone eats pieces of this plant.

Alternative Names

Christmas cherry poisoning; Winter cherry poisoning; Ground cherry poisoning

Poisonous Ingredient

Solanocapsine

Where Found

The poison is found throughout the Jerusalem cherry plant, but especially in the unripened fruit and leaves.

Symptoms

• Coma
• Delirium
• Diarrhea
• Drowsiness
• Enlarged (dilated) pupils
• Hallucinations
• Headache
• Low blood pressure
• Slowed breathing
• Slow pulse
• Stomach pain
• Vomiting

Home Treatment

Seek immediate medical help. DO NOT make a person throw up unless told to do so by Poison Control or a health care professional.

Before Calling Emergency

Determine the following information:

• Patient's age, weight, and condition
• Name of product (ingredients and strengths, if known)
• Time it was swallowed
• Amount swallowed

Poison Control, or a local emergency number

The National Poison Control Center (1-800-222-1222) can be called from anywhere in the United States. This national hotline number will let you talk to experts in poisoning. They will give you further instructions.

This is a free and confidential service. All local poison control centers in the U.S. 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.

See: Poison control center - emergency number

What to expect at the emergency room

The health care provider will measure and monitor your vital signs, including temperature, pulse, breathing rate, and blood pressure. Symptoms will be treated as appropriate. You may receive:

• Activated charcoal
• Fluids
• Tube through the mouth into the stomach to wash out the stomach (gastric lavage)

Expectations (prognosis)

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.

References

1. Hostetler M, Schneider S. Poisonous Plants. In: Tintinalli JE, Kelen GD, Stapczynski JS, eds. Emergency Medicine: A Comprehensive Study Guide. 6th ed. New York, NY: McGraw Hill; 2004:chap 205.