Renal transplantation after Cortinarius speciosissimus poisoning.
During the years 1979-1993 22 individuals were intoxicated in Sweden by the mushroom Cortinarius speciosissimus. Nine of them developed end-stage renal failure (ESRF), and we describe five who have received renal transplants. Three were transplanted after 6-9 months on haemodialysis; the other two regained some renal function after 2-6 months on haemodialysis, but had to be restarted on dialysis 24-30 months later and were eventually transplanted. Two patients had kidneys donated by a father and a brother respectively, three had cadaveric organs. All five developed satisfactory renal function with current glomerular filtration rate (GFR) 31-79 ml/min (mean 56.2) after 5-10 (mean 7.0) years. To our knowledge, renal transplantation after Cortinarius poisoning has not been reported before.
Holmdahl
J
J
Department of Nephrology, Sahlgrenska University Hospital, Göteborg, Sweden.
Blohmé
I
I
D000293:Adolescent; D000328:Adult; D000363:Agaricales; D005260:Female; D005919:Glomerular Filtration Rate; D006801:Humans; D007676:Kidney Failure, Chronic / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery*; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D009145:Mushroom Poisoning / Q000150:complications*; D016896:Treatment Outcome