Amanita phalloides, a potentially lethal mushroom: its clinical presentation and therapeutic options.
Mushroom poisoning with Amanita phalloides, a rare phenomenon in everyday clinical practice in the Netherlands, must be recognized early in view of its potential morbidity and mortality. In this article 2 cases of amanita intoxication are presented and the pharmacological basis and clinical manifestations discussed. Furthermore, the rationale of various treatment modalities, including the role of liver transplantation, is outlined.
Serné
E H
EH
Department of Internal medicine, Medical Center Alkmaar, Netherlands.
Toorians
A W
AW
Gietema
J A
JA
Bronsveld
W
W
Haagsma
E B
EB
Mulder
P O
PO
D000328:Adult; D000545:Amanita; D001774:Blood Chemical Analysis; D005260:Female; D005500:Follow-Up Studies; D006501:Hepatic Encephalopathy / Q000097:blood / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D009145:Mushroom Poisoning / Q000097:blood / Q000209:etiology* / Q000628:therapy