Continuous renal replacement therapy and charcoal plasmaperfusion in treatment of amanita mushroom poisoning.
Hemoperfusion has been used in the treatment of mushroom poisoning for many years. The aim of this study was to study the efficacy of charcoal plasmaperfusion (CPP) and continuous renal replacement therapy (CRRT) in 2 patients severely poisoned by the amanita mushroom. Both patients arrived at the ICU from another hospital with a diagnosis of amanita phalloides mushroom poisoning. The patients were precociously treated with CRRT for 20 h and CPP for 3 h every day. The treatments were effected for 3 and 5 days, respectively. Both patients recovered completely and were discharged asyntomatic after 7 and 10 days.
Splendiani
G
G
Nephrology Department, Tor Vergata University, Rome, Italy.
Zazzaro
D
D
Di Pietrantonio
P
P
Delfino
L
L
D000368:Aged; D000545:Amanita; D002606:Charcoal; D003422:Critical Care; D005260:Female; D005500:Follow-Up Studies; D006440:Hemofiltration; D006464:Hemoperfusion; D006801:Humans; D008297:Male; D008875:Middle Aged; D009145:Mushroom Poisoning / Q000628:therapy*; D010956:Plasmapheresis; D017582:Renal Replacement Therapy; D016060:Sorption Detoxification
D002606:Charcoal