title: Amanita phalloides, a potentially lethal mushroom: its clinical presentation and therapeutic options.
abstract: 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.
authors.affiliation: Department of Internal medicine, Medical Center Alkmaar, Netherlands.
authors.forename: E H
authors.initials: EH
authors.lastname: Serné
authors.forename: A W
authors.initials: AW
authors.lastname: Toorians
authors.forename: J A
authors.initials: JA
authors.lastname: Gietema
authors.forename: W
authors.initials: W
authors.lastname: Bronsveld
authors.forename: E B
authors.initials: EB
authors.lastname: Haagsma
authors.forename: P O
authors.initials: PO
authors.lastname: Mulder
mesh_terms: 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