Acute lead encephalopathy due to ingestion of certain herbal folk remedies in rural area in Iraq

Uses of certain herbal folk remedies is well known in rural area in Iraq & other countries this mostly due to lack of medical education among lay peoples and sporadic distribution of small districts & villages which are faraway from primary health centers .for examples of theses remedies are seeds, plants, berries, roots, banks, these remedies are widely used for treatment and prevention of various disease. The long life adventure of SAGWA (which is prepared from mixture of boiled animal parts of urchin, tar, drug lomotil, rose water, & cow feces) this strange mixture widely used by some midwives & elderly woman in rural areas as part of traditional knowledge & wrong believes for treatment of prolong gastroenteritis despite of its known harmful effect with serious complications like nephrotoxicity & neurotoxicity. In children hospital daily receivesmany cases of SAGWA poisoning from country side around Baghdad with various sign of presentation & complication include dehydration, sepsis, & sever electrolytes disturbances & bleeding with renal failure that warrant emergency PD dialysis which very common presentation. In this case of SAGWA poisoning child presented with serious sign of disturb level of consciousness and oliguria were admitted to emergency department then transfers to ICU, & treated as encephalitis.