Mushroom poisoning: retrospective analysis of 294 cases

Eren, Şevki Hakan; Demirel, Yeltekin; Uğurlu, Serdal; Korkmaz, İlhan; Aktaş, Can; Güven, Fatma Mutlu Kukul

doi:10.1590/s1807-59322010000500006

Cited by 85 publications

(108 citation statements)

References 18 publications

(26 reference statements)

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“…Approximately 100 of the known species of mushrooms are poisonous to humans, with new toxic species continually being identified [2,6,7]. Some mushrooms initially classified as edible have recently been reclassified as toxic such as Tricholoma equestre (Yellow Trich or Yellow Knight) [8].…”

Section: Overview Of Mushroomsmentioning

confidence: 99%

“…Mushroom poisoning, termed mycetism or mycetismus, most commonly ensues after mushrooms are foraged, misidentified and then consumed [1,7,[9][10][11][12][13][14][15][16][17][18][19][20]. The incidence of ingesting wild, toxic mushrooms is increasingly reported [8,21,22].…”

Section: Overview Of Exposurementioning

confidence: 99%

“…Generally, most toxic mushrooms produce some gastrointestinal (GI) distress and commonly GI symptoms are the first symptoms reported. The diagnostic and prognostic value of GI symptoms are limited [6,7,11,15]. In the past, some have promoted reliance on an initial time to development of GI symptoms to predict prognosis.…”

Section: Overview Of Initial General Assessmentmentioning

confidence: 99%

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Mycetism: A Review of the Recent Literature

Graeme

2014

J. Med. Toxicol.

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Approximately 100 of the known species of mushrooms are poisonous to humans. New toxic mushroom species continue to be identified. Some species initially classified as edible are later reclassified as toxic. This results in a continually expanding list of toxic mushrooms. As new toxic species are identified, some classic teachings about mycetism no longer hold true. As more toxic mushrooms are identified and more toxic syndromes are reported, older classification systems fail to effectively accommodate mycetism. This review provides an update of myscetism and classifies mushroom poisonings by the primary organ system affected, permitting expansion, as new, toxic mushroom species are discovered.

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Section: Overview Of Mushroomsmentioning

confidence: 99%

Section: Overview Of Exposurementioning

confidence: 99%

Section: Overview Of Initial General Assessmentmentioning

confidence: 99%

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Mycetism: A Review of the Recent Literature

Graeme

2014

J. Med. Toxicol.

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“…Ankstyva hipokalcemija neturėtų būti koreguojama, nebent yra simptomatika arba sunki hiperkalemija, nes kalcio papildymas gali didinti kalcio fosfato precipitaciją nekrotizuojančiuose raumenyse [39]. Besitęsianti venoveninė hemofiltracija ar hemodiafiltracija buvo veiksminga šalinant mioglobiną, nors tai klinikinių atvejų įrodymai ir ilgalaikis efektas nėra žinomas [38,40]. Dažnai dėl konvulsinės neuropatijos tikimybės reikalinga ir traukulių profilaktika bei dirbtinė plaučių ventiliacija [39].…”

Section: Rabdomiolizės Sindromasunclassified

Dažniausi Apsinuodijimo Grybais Sindromai Ir Inkstų Pažeidimai

Rėkutė¹,

Miglinas

Rimševičius

2017

Medicinos Teorija Ir Praktika

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SANTRAUKAReikšminiai žodžiai: grybai, apsinuodijimai, amanitinas, orelaninas, inkstai. Apsinuodijimas grybais yra reta ūminių inkstų ir kepenų pažeidimų priežastis, tačiau gali sukelti rimtų sveikatos sutrikimų ir baigtis mirtimi. Lietuvoje dažniausiai apsinuodijama musmirėmis (Amanita genties grybais) ir nuodingaisiais nuosėdžiais (Cortinarius orellanus), kurie atitinkamai sukelia Amanitino ir Orelano sindromus. Užsienyje nustatyta rabdomiolizės sukeltų mirties atvejų apsinuodijus nuodingąja ūmėde (Russula subnigricans). Apsinuodijus grybais, atsiranda ankstyvųjų simptomų -pykinimas, vėmimas, viduriavimas, arba vėlyvųjų -negrįžtamų inkstų ir kepenų pažeidimų, elektrolitų disbalansas, kvėpa-vimo ir kardiovaskulinės sistemos pokyčių. Intoksikacijos veikimo mechanizmas siejamas su DNR bei RNR sintezės inhibicija, oksidaciniais ląstelės pažeidimais. Lietuvoje diagnozė remiasi klinika ir surinkta anamneze, užsienyje atliekama inkstų biopsija ir ieškoma histologinių pokyčių. Specifinio gydymo nėra. Efektyviausias gydymas -palaikomasis: agresyvus skysčių atstatymas, elektrolitų balanso palaikymas, gyvybiškai svarbių funkcijų stabilizavimas. Sunkiais atvejais atliekama inkstų ar/ ir kepenų transplantacija. Norint apsaugoti save ir aplinkinius nuo apsinuodijimo grybais, svarbu atpažinti valgomus grybus, tinkamai apdoroti prieš valgant bei riboti vartojamų grybų kiekį. ABSTRACTKey words: mushrooms, poisoning, amanitin, orellanine, kidney. Although mushroom poisoning is a rare cause of renal and liver diseases, it can result in serious health problems and even death. In Lithuania, the most common poisonous mushrooms are Amanita phalloides (Amanita family) and Cortinarius orellanus (Cortinarius family), which respectively causes Amanitin and Orellanus syndromes. In foreign countries, Russula subnigricans (Russulaceae family) poisoning it is not unusual, which may cause rhabdomyolysis induced death. Early symptoms of mushroom poisoning are sickness, vomiting, diarrhea, while advanced symptoms include irreversible kidney and liver injury, electrolytes imbalance, respiratory and cardiovascular system disorders. Mushroom caused intoxication is linked with DNA and RNA synthesis inhibition and oxidative cell damage. In Lithuania, mushroom poisoning diagnosis is primarily based on clinical evidence and anamnesis, while in foreign countries kidney biopsy is also a common procedure. However, there is no specific therapy for mushroom poisoning and, hence, treatment is mainly supportive. In severe cases, kidney or/and liver transplantation may be necessary. Serious health disorders, which result from mushroom poisoning, highlight the importance to spread knowledge about the potential nephrotoxicity of mushrooms, proper preparation and even limited consumption. Skirmantė Rėkutė VUL Santariškių klinikos Santariškių g. 2, Vilnius

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“…Mushroom poisoning commonly occurs by inadvertently consuming toxic species because of inability to distinguish them from non-toxic species. In addition, intentional consumption of toxic species for suicidal, homicidal purposes, or consuming some species containing psychoactive toxins may also lead to intoxications [4,5,6]. Depending on the consumed species, consumed amount, season in which mushroom takes place, geographical location, cooking method, and individual's response mushroom intoxication is usually characterized by temporary gastrointestinal, allergic and central nervous system (CNS) symptoms.…”

Section: Introductionmentioning

confidence: 99%