title: Rhabdomyolysis: an unusual feature with mushroom poisoning.
abstract: Rhabdomyolysis resulting from mushroom poisoning previously has been unreported in the literature. We present an outbreak of Russula subnigricans poisoning with rhabdomyolysis. The most severely ill patient presented with rhabdomyolysis, severe electrolyte disturbance (hyperkalemia, hypocalcemia), respiratory failure, acute renal failure, pulmonary edema, ventricular tachycardia, and circulatory shock. Mycotoxin may be the cause of rhabdomyolysis. In areas where mushroom gathering is common, mushroom poisoning should be included in the differential diagnosis of rhabdomyolysis.
authors.affiliation: Division of Nephrology, Department of Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
authors.forename: P T
authors.initials: PT
authors.lastname: Lee
authors.forename: M L
authors.initials: ML
authors.lastname: Wu
authors.forename: W J
authors.initials: WJ
authors.lastname: Tsai
authors.forename: J
authors.initials: J
authors.lastname: Ger
authors.forename: J F
authors.initials: JF
authors.lastname: Deng
authors.forename: H M
authors.initials: HM
authors.lastname: Chung
mesh_terms: D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009145:Mushroom Poisoning / Q000150:complications*; D051437:Renal Insufficiency / Q000209:etiology; D012206:Rhabdomyolysis / Q000209:etiology*