Nutmeg is a commonly used spice that contains myristicin, a compound with anticholinergic and psychoactive properties. Excessive consumption can lead to toxicity, causing psychiatric and anticholinergic symptoms such as tachycardia, dizziness, dry mouth, tremors, and nausea. Nutmeg poisoning is rare and not widely recognized. This report describes the case of a 33-year-old woman who accidentally ingested a toxic amount of nutmeg while cooking. She presented with symptoms of dry mouth, tremors, dizziness, and anxiety and was subsequently diagnosed with nutmeg poisoning. Blood tests revealed electrolyte abnormalities, while cardiac function and respiratory status were normal. The patient was treated with fluid restriction and symptomatic management, with symptoms resolving within 24 hours. This case highlights the need for greater awareness of nutmeg's toxic effects and the importance of recognizing its symptoms and providing appropriate treatment. Nutmeg can pose significant health risks if consumed excessively despite its widespread availability. Education and prevention measures are crucial to avoid complications, including electrolyte abnormalities. Healthcare providers should consider nutmeg poisoning in differential diagnoses involving anticholinergic and sympathomimetic symptoms, as early recognition and management are essential to patient recovery.
Keywords: anticholinergic effects; electrolyte abnormalities; hyponatremia; nutmeg intoxication; poisoning.
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