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Severe uvular edema and nasal mucosal necrosis due to Ecbalium elaterium (squirting cucumber): An allergic reaction or direct toxic effect? 

Authors: Cenker Eken a;  Kerem Ozbek a;  Canan Kuk Yildirim a; Oktay Eray a
Affiliation:   a Department of Emergency Medicine, Akdeniz University School of Medicine, Antalya, Turkey
DOI: 10.1080/15563650601158834
Publication Frequency: 10 issues per year
Published in: journal Clinical Toxicology, Volume 46, Issue 3 March 2008 , pages 257 - 258
Formats available: HTML (English) : PDF (English)
Previously published as: Journal of Toxicology: Clinical Toxicology (0731-3810) until 2005
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Abstract

Ecbalium elaterium or squirting cucumber is a plant growing in the Mediterranean region, belong to Cucurbitaceae family. Its juice has been used as an herbal medicine since ancient times because of its cathartic and anti-inflammatory effects. It has been reported to cause upper airway edema, especially after the administration of its undiluted form. It has generally been attributed to allergic reaction. In this case report we aimed to interrogate this anticipation by presenting a case of severe uvular edema and nasal mucosal necrosis after dripping undiluted Ecbalium elaterium juice that did not improved by anti-allergic therapies.
Keywords: Allergic reaction; Ecbalium elaterium; Nasal mucosal necrosis; Toxic effect
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