If ingestion of intact almond causes only mild digestive disorders (Abdominal pain, vomiting, diarrhea), severity of poisoning appear when the almonds are chewed (mastication causes
the release of hydrogen cyanide) and then swallowed. For less than five almonds, abdominal pain are observed, vomiting, diarrhea, dizziness, sometimes sleepiness or agitation. Beyond ten almonds, intoxication is severe: hypersalivation, sweating, dizziness, tremors, bradycardia, bradypnea, cyanosis, cardiovascular collapse, convulsions .
Hospitalization should be routine for a quantity supposedly ingested upper almonds to 10. the Treatment is symptomatic
(Oxygen therapy, correction of metabolic acidosis,vascular filling). An antidote treatment with hydroxocobalamin may be considered in severe poisoning. It is right to remember that these cyanogenic glycosides are also present in almonds bitter almond (Prunus amygdalus), plum, peach
or apricot.
the release of hydrogen cyanide) and then swallowed. For less than five almonds, abdominal pain are observed, vomiting, diarrhea, dizziness, sometimes sleepiness or agitation. Beyond ten almonds, intoxication is severe: hypersalivation, sweating, dizziness, tremors, bradycardia, bradypnea, cyanosis, cardiovascular collapse, convulsions .
Hospitalization should be routine for a quantity supposedly ingested upper almonds to 10. the Treatment is symptomatic
(Oxygen therapy, correction of metabolic acidosis,vascular filling). An antidote treatment with hydroxocobalamin may be considered in severe poisoning. It is right to remember that these cyanogenic glycosides are also present in almonds bitter almond (Prunus amygdalus), plum, peach
or apricot.
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