Renal Failure Caused by Mushroom Poisoning

Leathem, Anne M.; Purssell, Roy; Chan, Victor; Kroeger, P.

doi:10.3109/15563659709001168

Cited by 37 publications

(13 citation statements)

References 11 publications

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“…However, these initial symptoms may be trivial and easily overlooked (10). Serious toxicity does not occur for several days and, therefore, presentation is usually delayed (14,26). Acute renal failure occurs in 30% to 50% of patients (10,13,27).…”

Section: Orellaninementioning

confidence: 97%

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Mycotoxins revisited: Part II

Berger

Guss

2005

The Journal of Emergency Medicine

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Mushrooms are ubiquitous in nature. They are an important source of nutrition, however, certain varieties contain chemicals that can be highly toxic to humans. Industrially cultivated mushrooms are historically very safe, whereas foraging for mushrooms or accidental ingestion of mushrooms in the environment can result in serious illness and death. The emergency department is the most common site of presentation for patients suffering from acute mushroom poisoning. Although recognition can be facilitated by identification of a characteristic toxidrome, the presenting manifestations can be variable and have considerable overlap with more common and generally benign clinical syndromes. The goal of this two-part article is to review the knowledge base on this subject and provide information that will assist the clinician in the early consideration, diagnosis and treatment of mushroom poisoning. Part I reviewed the epidemiology and demographics of mushroom poisoning, the physical characteristics of the most toxic varieties, the classification of the toxic species, and presented an overview of the cyclopeptide-containing mushroom class. Part II is focused on the presentation of the other classes of toxic mushrooms along with an up-to-date review of the most recently identified poisonous varieties.

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Section: Orellaninementioning

confidence: 97%

“…Amanita smithiana, common in the Pacific Northwest of the United States and British Columbia, causes a similar syndrome (14,15). The responsible toxin is a heat-stable bipyridyl orellanine, 2,2= bipyridine-3, 3=, 4, 4=-tetrol-1,1=-dioxide or 3,3=,4,4=-tetrahydroxy-2,2=-bipyridine-N,N=-dioxide (16,17).…”

Section: Orellaninementioning

confidence: 98%

Mycotoxins revisited: Part II

Berger

Guss

2005

The Journal of Emergency Medicine

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“…The initial symptoms may be easily overlooked as the first symptoms begin 36 to 48 hours post ingestion [7,10]. Serious toxicity does not occur for several days [11,12]. The nephrotoxin causes an irreversible renal failure in severe cases (orellanus syndrome).…”

Section: Introductionmentioning

confidence: 99%

“…The genus Amanita includes also two other species, i.e. Amanita smithiana and Amanita proxima, which has been described as nephrotoxic in numerous reports [11,21]. A. smithiana occurs mostly on the west US coast (California), while A. proxima grows in the Mediterranean Basin.…”

Section: Introductionmentioning

confidence: 99%

Acute kidney injury related to wild mushrooms intoxication

Marchelek-Myśliwiec

Wilk

Turoń-Skrzypińska

et al. 2020

J Educ Health Sport

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The problem of mushroom intoxication has been brought up more often in both scientific journals and media, particularly in autumn – the period when mushroom hunting is most intense. Mushroom intoxication is mainly perceived as being associated with acute hepatic insufficiency. However, apart from strong hepatotoxic effects, some mushroom species are characterized by effects that lead to renal damage, sometimes irreversible in character. This article relates to the toxic mushroom species considered to be nephrotoxic and discusses different mechanisms and symptoms of kidney injury as well as methods of treatment

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“…Böbrek fonksiyonunun düzeltilmesi için Amanita grubu mantar yenilmesi durumunda diyaliz sıklıkla gereklidir. Destekleyici diyaliz, tipik olarak iki ila beş hafta boyunca gereklidir, ancak bir vakada altı ay boyunca gerekli olmuştur 9,16 . Plazmaferezin ise; mantar zehirlenmesi tedavisinde yüksek derecede etkin olduğu, ilk zehirlenme ortaya çıktığı anda tedaviye başlanması gerektiği, en iyi tedavi sonuçlarının ilk 36-48 saatte tedaviye alınan hastalarda elde edildiğini ve bu önlemler ile mortalite…”

Section: Introductionunclassified

Severe acute renal, hepatic and cardiac failure in the setting of rhabdomyolysis due to mushroom poisoning

Taban

Dursun

2019

Cukurova Medical Journal

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ÖzAmanita species are the most common cause of mushroom poisoning with a high rate of mortality. A 58 years old woman who had a mushroom intake history 3 days ago was presented with nausea, vomiting and decrease in urine volume. The patient was evaluated to have acute kidney, liver and cardiac injury in the setting of rhabdomyolysis due to mushroom poisoning. Besides medical support therapy she received hemodialysis and plasmapheresis treatments, which resulted in complete clinical and laboratory improvement. We emphasized the significance of mushroom poisoning in the context of their wide clinical presentation spectrum and potentially lethal feature.Mantar zehirlenmelerinin mortalitesi yüksektir, sıklıkla amanita türlerine bağlı gelişir. Elli sekiz yaşında kadın hasta üç gün önce mantar yeme öyküsü ve bulantı, kusma, idrar miktarında azalma şikayetleriyle başvurdu. Değerlendirme sonucunda mantar zehirlenmesine bağlı rabdomiyoliz zemininde akut böbrek, karaciğer ve kardiak hasar olarak değerlendirildi. Hastaya medikal destek tedavi yanı sıra hemodiyaliz ve plazmaferez tedavisi uygulandı, izleminde klinik ve laboratuvar olarak tam düzelme sağlandı. Bu olgu raporunda mantar zehirlenmesinin geniş klinik spektrumu ve ölümcül potansiyeli açısından taşıdığı önemi vurgulamayı amaçladık.

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Renal Failure Caused by Mushroom Poisoning

Abstract: Mushroom field guides warn against mistaking Amanita smithiana for pine mushrooms. They are similar in size, color and habitat. It appears possible that Amanita smithiana mushrooms were eaten instead of pine mushrooms in these cases.

Cited by 37 publications

References 11 publications

Mycotoxins revisited: Part II

Mycotoxins revisited: Part II

Acute kidney injury related to wild mushrooms intoxication

Severe acute renal, hepatic and cardiac failure in the setting of rhabdomyolysis due to mushroom poisoning

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