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EXPOSUREThe rapid onset of gastroenteritis is the most common adverse response to the ingestion of mushrooms. Most of the cases of mushroom -induced gastroenteritis are mild, and many of these cases are not reported in the medical literature. Despite food preparation techniques, a large group of mushrooms are capable of producing gastroenteritis as listed in Table 39.1 . 1 The consumption of a variety of mushrooms can produce gastroenteritis when improperly prepared including Amanita rubescens var. rubescens Pers., Amanita spissa (Fr.) P. Kumm., Amanita strobiliformis (Paulet ex Vittad.) Bertill., Amanita vaginata (Bull.) Lam. var. vaginata, Boletus queletii Schulzer ( Boletus erythropus ), Boletus luridus Schaeff., Choiromyces meandriformis Vittad., and Entoloma clypeatum (L.) P. Kumm., pungent Lactarius and Russula species, Clitocybe nebularis (Batsch) Qu é l., Lepista nuda (Bull.) Cooke, Paxillus involutus (Batsch) Fr., Russula olivacea (Schaeff.) Fr. and Sarcosphaera coronaria (Jacq.) J. Schr ö t. ( S. crassa ). 1 These species are edible when properly prepared. In a small segment ( < 2%) of the population, individuals possess trehalase disaccharidase defi ciency. Ingestion of trehalose -containing mushrooms (e.g., Agaricus bisporus (J.E. Lange) Pil á t, Boletus edulis Bull.) by these susceptible patients causes the onset of diarrhea and abdominal cramps as a result of the failure to absorb trehalose through the intestinal brush -border. 2,3 Illudin S derivatives (i.e., irofulven and related compounds) are experimental chemotherapeutic agents for advanced solid tumors. 4,5
EXPOSUREThe rapid onset of gastroenteritis is the most common adverse response to the ingestion of mushrooms. Most of the cases of mushroom -induced gastroenteritis are mild, and many of these cases are not reported in the medical literature. Despite food preparation techniques, a large group of mushrooms are capable of producing gastroenteritis as listed in Table 39.1 . 1 The consumption of a variety of mushrooms can produce gastroenteritis when improperly prepared including Amanita rubescens var. rubescens Pers., Amanita spissa (Fr.) P. Kumm., Amanita strobiliformis (Paulet ex Vittad.) Bertill., Amanita vaginata (Bull.) Lam. var. vaginata, Boletus queletii Schulzer ( Boletus erythropus ), Boletus luridus Schaeff., Choiromyces meandriformis Vittad., and Entoloma clypeatum (L.) P. Kumm., pungent Lactarius and Russula species, Clitocybe nebularis (Batsch) Qu é l., Lepista nuda (Bull.) Cooke, Paxillus involutus (Batsch) Fr., Russula olivacea (Schaeff.) Fr. and Sarcosphaera coronaria (Jacq.) J. Schr ö t. ( S. crassa ). 1 These species are edible when properly prepared. In a small segment ( < 2%) of the population, individuals possess trehalase disaccharidase defi ciency. Ingestion of trehalose -containing mushrooms (e.g., Agaricus bisporus (J.E. Lange) Pil á t, Boletus edulis Bull.) by these susceptible patients causes the onset of diarrhea and abdominal cramps as a result of the failure to absorb trehalose through the intestinal brush -border. 2,3 Illudin S derivatives (i.e., irofulven and related compounds) are experimental chemotherapeutic agents for advanced solid tumors. 4,5
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