OBJECTIVES: To present a rare occurrence in ear, nose and throat practice of upper @entity4 from use of juice extracted from the fruit of Ecballium elaterium. INTRODUCTION: Ecballium elaterium is a plant indigenous to the Mediterranean region that bears the common name squirting @entity9688 . Many @entity1 in this region for the treatment of @entity1244 use the juice of its fruit. However, @entity566 -prone @entity1 after using it may sometimes present with @entity4 at various sites of the upper respiratory tract. Otolaryngologists are frequently asked to diagnose and treat such an emergency situation. STUDY DESIGN: Retrospective review of the records of 42 @entity1 with this condition during the last 4 years. METHODS: @entity1 records were retrospectively reviewed for age, sex, presenting symptoms, physical examination, and medical treatment. Seasonal distribution and data from the history of the @entity1 were also considered. Skin prick and prick-to-prick testing to various allergens was performed in 12 @entity1 . RESULTS: Most of the @entity1 presented with localized swelling of the uvula and the nasal mucosa, whereas in the remainder of the @entity1 various sites of swelling of the upper respiratory tract were observed. Skin tests elicited positive reactions to pollen weeds and to various fruits of the Cucurbitaceae family. Treatment of the @entity1 with @entity288 and antihistamines resulted in an uneventful recovery, and we did not need to resort to therapeutic modalities, such as intubation or tracheotomy. CONCLUSIONS: We think a further study of the pharmaceutical properties of the plant's fruit juice is needed, especially regarding its curative properties of @entity2490 and @entity1244 . However, adverse reactions in some @entity1 with a positive history of @entity566 should always be considered.

Upper XXXX resulting from use of Ecballium elaterium.

@entity1 :: ('9606', 'Species') :: ['patients', 'Patient', 'people'] @entity1244 :: ('MESH:D012852', 'Disease') :: ['sinusitis'] @entity4 :: ('MESH:D004487', 'Disease') :: ['edema', 'airway allergic edema'] @entity566 :: ('MESH:D006967', 'Disease') :: ['allergy'] @entity2490 :: ('MESH:D012220', 'Disease') :: ['rhinitis'] @entity9688 :: ('3659', 'Species') :: ['cucumber'] @entity288 :: ('MESH:D000305', 'Chemical') :: ['corticosteroids']
@entity4 :: (MESH:D004487,Disease) :: ['airway edema']
