Poisoning from wild mushrooms in Eastern Anatolia region: analyses of 5 years

Durukan, Polat; Yıldız, Mustafa; Çevik, Yunsur; Ikizceli, İ̇brahim; Kavalcı, Cemil; Çelebi, Serdal

doi:10.1177/0960327106079545

Cited by 22 publications

(35 citation statements)

References 10 publications

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“…The cases in the current study presented at hospital with gastrointestinal complaints such as vomiting and abdominal pain. Previous studies have reported the most frequent complaints to be nausea and vomiting [20]. Early presentation at hospital is of great importance to be able to reduce mortality from mushroom poisoning [15].…”

Section: Discussionmentioning

confidence: 99%

Fatal Mushroom Poisoning in Syrian Refugees

Petekkaya¹,

Börk²,

Ayaz³

et al. 2016

Azerbaijan Med Assoc J

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The aim of this study was to evaluate the deaths of Syrian refugees caused by mushroom poisoning in the light of patient data, living conditions and autopsy findings. Methods: An evaluation was made of 6 Syrian refugees who died at Malatya Turgut Ozal Medical Centre as a result of mushroom poisoning in 2014. Diagnosis of mushroom poisoning was made from the anamnesis, laboratory test results and clinical evaluation of the patients. The autopsy procedures for all the cases were performed at the Malatya Local Authority Forensic Medicine Institution. All the cases were evaluated in respect of age, gender, height, weight, symptoms of poisoning, duration of hospitalization, month of poisoning, laboratory parameters, autopsy findings and histopathological findings. Results: The 6 cases included in the study comprised 4 males and 2 females with a mean age of 27±18.7 years. Some of the cases were related. It was determined that all the cases were poisoned after eating wild mushrooms that they had collected. In all the cases, the liver function tests were impaired, with values determined of mean ALT 5456.83±2556.47 U/L, AST 2517.66±2351.56 U/L, INR 5.04±2.04 and ammoniac 904.16±308.6 µg/dl. In the autopsy, widespread foci of bleeding were determined in the internal organs, a jaundiced appearance and fluid accumulation in the body cavities (pleural effusion and acid). Thrombosis in the vena porta hepatica was determined in 1 case. In the histopathological examination, massive liver necrosis was seen in all the cases. Conclusion: Mushroom poisoning as a definitive cause of death must be determined with a detailed history, autopsy findings and histopathology together. Furthermore, refugees should be warned that there could be similar species of mushrooms growing in different natural environments and that they could be poisonous.

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Section: Discussionmentioning

confidence: 99%

Fatal Mushroom Poisoning in Syrian Refugees

Petekkaya¹,

Börk²,

Ayaz³

et al. 2016

Azerbaijan Med Assoc J

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“…8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 of a toxic mushroom as an edible species (Barbato, 1993;Cochran, 1987). The severity of mushroom poisoning depends on the species of mushroom, the amount of mushroom consumed, the prompt therapy and the health status of the individual (Broussard et al, 2001;Durukan et al, 2007). The main toxins associated to mushroom poisoning are: cyclopeptides, orellanine, gyromitrin, isoxazoles, muscarine, psilocybin and gastrointestinal specific irritants (Koppel, 1993).…”

Section: Introductionmentioning

confidence: 99%

Co-ingestion of amatoxins and isoxazoles-containing mushrooms and successful treatment: A case report

Garcia

Costa

et al. 2015

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Mushroom poisonings occur when ingestion of wild mushrooms containing toxins takes place, placing the consumers at life-threatening risk. In the present case report, an unusual multiple poisoning with isoxazoles- and amatoxins-containing mushrooms in a context of altered mental state and poorly controlled hypertension is presented. A 68-year-old female was presented to São João hospital (Portugal) with complaints of extreme dizziness, hallucinations, vertigo and imbalance, 3 h after consuming a stew of wild mushrooms. The first observations revealed altered mental state and elevated blood pressure. The examination of cooked mushroom fragments allowed a preliminary identification of Amanita pantherina. Gas chromatography-mass spectrometry (GC-MS) showed the presence of muscimol in urine. Moreover, through high-performance liquid chromatography-ultraviolet detection (HPLC-UV) analysis of the gastric juice, the presence of α-amanitin was found, showing that amatoxins-containing mushrooms were also included in the stew. After 4 days of supportive treatment, activated charcoal, silybin and N-acetylcysteine, the patient recovered being discharged 10 days post-ingestion with no organ complications. The prompt and appropriate therapy protocol for life-threatening amatoxins toxicity probably saved the patient's life as oral absorption was decreased and also supportive care was immediately started.

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“…Çalışmamızda da 20 yaş üstü hastaların oranı % 83 bulunmuştur. Yapılan araştırmalarda da, çalışmamızı destekler şekilde, mantar zehirlenmelerinde kadın olguların yüksek oranda olduğu rapor edilmiştir(12, [16][17][18][19]. Araştırmamızda kadın hastaların mantar zehirlenmelerinin büyük bir oranını oluşturduğu bulundu.…”

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Demographic evaluation of emergency department patients with mushroom poisoning

Yılmaz¹,

Duran²,

Erkuran³

et al. 2015

Turk J Bioch

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We analyzed the data on the seasonal variation, demographic characteristics and symptoms of the cases. Results: Six hundred and forty-eight patients were reported to emergency department, where 60% of them were female. Mean age of female and male were 39.7 ± 18.7 and 41.3 ± 19.4 years, respectively. Most of the poisonings occurred in autumn (51.4%). Abdominal pain was the most common sign (44.4%) followed by diarrhea (30.6%), nausea (9.3%), anorexia (9.3%), vomiting (5.6%) and weakness (0.9%). Conclusion: Mushroom poisoning still remains as an important public health problem. Mushroom poisoning in Bolu and around were mostly diagnosed in patients younger than 40 years and in autumn. Most of the patients recovered without any problems. Anahtar Kelimeler: Acil servis, mantar zehirlenmesi, demografik.

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Poisoning from wild mushrooms in Eastern Anatolia region: analyses of 5 years

Cited by 22 publications

References 10 publications

Fatal Mushroom Poisoning in Syrian Refugees

Fatal Mushroom Poisoning in Syrian Refugees

Co-ingestion of amatoxins and isoxazoles-containing mushrooms and successful treatment: A case report

Demographic evaluation of emergency department patients with mushroom poisoning

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