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Indian Pediatr. 2007 Jul;44(7):522-5.

Cassia occidentalis poisoning causes fatal coma in children in western Uttar Pradesh.

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Mangla Hospital, Shakti Chowk, Bijnor, Uttar Pradesh 246 701, India.


We investigated cases of the annual seasonal outbreaks of acute hepato-myo-encephalopathy in young children in western Uttar Pradesh for causal association with Cassia occidentalis poisoning, by a prospective survey in 2006. During September-October homes of 10 consecutive cases were visited and history of eating Cassia beans was obtained in all. Nine children died within 4-5 days. There appears to be an etiological association between consumption of Cassia occidentalis beans and acute hepato-myo-encephalopathy.

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