Mushroom poisoning--from diarrhea to liver transplantation.
Publication/Presentation Date
11-1-2001
Abstract
Mushroom poisoning from the genus Amanita is a medical emergency, with Amanita phalloides being the most common species. The typical symptoms of nausea, vomiting, abdominal pain, and diarrhea are nonspecific and can be mistaken for gastroenteritis. If not adequately treated, hepatic and renal failure may ensue within several days of ingestion. In this case series, patients poisoned with Amanita virosa are described with a spectrum of clinical presentations and outcomes ranging from complete recovery to fulminant hepatic failure. Although there are no controlled clinical trials, a few anecdotal studies provide the basis for regimens recommended to treat Amanita poisoning. Use of i.v. penicillin G is supported by most reports. Silibinin, although preferred over penicillin, is not easily available in the United States. In those with acute liver failure, liver transplantation can be life saving.
Volume
96
Issue
11
First Page
3195
Last Page
3198
ISSN
0002-9270
Published In/Presented At
Broussard, C. N., Aggarwal, A., Lacey, S. R., Post, A. B., Gramlich, T., Henderson, J. M., & Younossi, Z. M. (2001). Mushroom poisoning--from diarrhea to liver transplantation. The American journal of gastroenterology, 96(11), 3195–3198. https://doi.org/10.1111/j.1572-0241.2001.05283.x
Disciplines
Medicine and Health Sciences
PubMedID
11721773
Department(s)
Department of Medicine
Document Type
Article