Abstract
Although up to 100 of them known to be toxic, there are more than 5,000 mushroom species in the world. Of these, the most poisonous species belong to Amanita and Gallerina species. Alpha-and beta-amanita toxins which are associated with serious liver, kidney and central nervous system damage is produced by Amanita phalloides which is responsible for 90% of fatal mushroom poisoning in Turkey. Two cases that we aimed to present are two male patients aged 55 and 42 who collected and consumed mushrooms in the forest. The patients were admitted to the county state hospital with complaints of nausea, vomiting, diarrhea and fatigue after 18 and 24 hours. Patients with increased liver function tests were referred to our hospital for further examination and treatment, and they were discharged after successful treatment in our intensive care unit.
Keywords: Mushroom poisoning, silybin, intensive care
References
- Olson KR. Poisoning and Drug Overdose, Sixth Edition. McGraw-Hill Education; 2011.
- Koyuncu F, Girişgin S, Cander B. Two Different Intoxications With The Same Mushroom (Report Two Cases). JAEMCR 2011;2:20-2.
- Karahan S, Erden A, Cetinkaya A, Avci D, Ortakoyluoglu AI, Karagoz H, et al. Acute Pancreatitis Caused By Mushroom Poisoning: A Report of Two Cases. J Investig Med High Impact Case Rep 2016;4:2324709615627474.
- Bayram A, Akın A, Ülgey A, Öksüm Y, Esmaoğlu A. Mantar Zehirlenmesi: İki Olgu. Odu Tıp Derg 2015;2:122-5.
- Kurt İ, Kaan MN, Taşdemir B, Bircan M. Silymarin Extract Treatment of Mushroom Poisoning: Case Report. Turkiye Klinikleri Journal of Anesthesiology & Reanimation 2012;10:53.
- Rahmani F, Ebrahimi Bakhtavar H, Ghavidel A. Acute hepatorenal failure in a patient following consumption of mushrooms: a case report. Iran Red Crescent Med J 2015;17:e17973.
- Chen WC, Kassi M, Saeed U, Frenette CT. A rare case of amatoxin poisoning in the state of Texas. Case Rep Gastroenterol 2012;6:350-7.
- Avcı S, Usul E, Kavak N, Büyükcam F, Arslan ED, Genç S, et al. Elevated cardiac enzymes due to mushroom poisoning. Acta Biomed 2014;85:275-6.
Copyright and license
Copyright © 2019 The Author(s). This is an open access article distributed under the Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.
