Publications by authors named "Julien Reynoard"

Objective: In some regions of the globe, accidental food confusion regarding plants can cause severe poisoning events and deaths. The aim of this study was to report on those confusions from the Marseille Poison Control Centre's (PCC) experience from 2002 to 2023.

Results: Over 22 years, 2197 food confusion events were managed with 321 different species.

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  • * The majority of poisonings (71%) stemmed from a predominant native species, and only four fatalities were reported, with most patients experiencing mild to moderate symptoms.
  • * The study highlights the need for a specific treatment protocol due to a lack of standardized care, noting that only a small number of patients required antidotes such as Digifab or physostigmine.
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  • GHB is produced naturally from GABA or can be obtained from substances like 1,4-butanediol and GBL, which are quickly converted to GHB in the body.
  • When ingested, GHB has a rapid absorption rate and its effects vary based on dosage, often leading to neurological disorders and potential withdrawal symptoms with long-term use.
  • While GHB is regulated internationally due to its association with abuse and drug-facilitated crimes, substances like GBL and 1,4-BD are not as strictly controlled, necessitating careful monitoring to prevent misuse and related health risks.
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  • A 57-year-old woman in Corsica was stung by a saddleback caterpillar (Acharia stimulea) while caring for a Ficus benjamina plant, experiencing intense pain rated at 8 out of 10.
  • Symptoms were alleviated within 2 hours using local anti-inflammatory ointment and oral painkillers, with only slight skin redness observed.
  • The incident highlights that caterpillars can be inadvertently imported with plants to Europe, emphasizing the need for awareness among garden store owners and healthcare professionals.
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: For many years, applications for baclofen have widened in the treatment of substance abuse disorder (SUD), mainly alcohol use disorder, with a growing rate of off-label prescriptions in Europe. Clinical effects seem to be both a decrease of craving and anxiety, leading to a decrease of drug or alcohol consumption. We described baclofen poisoning circumstances, therapeutic options and outcomes when used in substance use disorders.

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