title: 5-Year analysis of mushroom exposures in California.
abstract: OBJECTIVE
  To evaluate outcomes following toxic mushroom ingestions.
  
  
  METHODS
  Retrospective data analysis.
  
  
  METHODS
  We analyzed American Association of Poison Control Center data for California from 1993 through 1997.
  
  
  RESULTS
  A total of 6,317 exposures occurred during the study period. Most (n = 6,229 [99.7%]) were acute exposures, and the rest (0.3%) were chronic; 87.6% (n = 5,536) were unintentional. Most (n = 4,235 [67.0%]) were in children younger than 6 years, and of these, only 6.0% experienced any clinical effects. The most common symptoms in patients aged 6 years and older were vomiting in 588 patients (28.2%), nausea in 307 patients (14.7%), diarrhea in 263 patients (12.6%), and abdominal pain in 221 patients (10.6%). No effects were seen in 3,131 (49.6% of all patients). Major effects were seen in only 17 patients (0.3%). Only 61 patients (1.0%) were admitted to a critical care unit. Death occurred in a 32-year-old adult who ate foraged mushrooms. Of all patients, 1,375 (21.8%) received no therapy or were observed only.
  
  
  CONCLUSIONS
  Most mushroom exposures were acute and unintentional and occurred in children younger than 6 years. Major toxic reactions or death was uncommon.
authors.affiliation: University College, Dublin School of Medicine, Dublin, Ireland. sean.nordt@excite.com
authors.forename: S P
authors.initials: SP
authors.lastname: Nordt
authors.forename: A
authors.initials: A
authors.lastname: Manoguerra
authors.forename: R F
authors.initials: RF
authors.lastname: Clark
mesh_terms: D000293:Adolescent; D000328:Adult; D000545:Amanita; D002140:California / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D006801:Humans; D009145:Mushroom Poisoning / Q000175:diagnosis / Q000453:epidemiology*; D012189:Retrospective Studies