Liver transplantation in mushroom poisoning.
Liver transplantation plays an important role in the treatment of patients with fulminant hepatic failure (FHF). Early determination of prognosis in cases of FHF is important to allow prompt decision-making regarding the need for liver transplantation. Mushroom poisoning is a rare cause of FHF, and as a result, prognostic criteria are not well recognized. It appears that the severity of coagulopathy and encephalopathy predicts a poor outcome, whereas the degree of bilirubin elevation may not. We present a case of FHF related to mushroom poisoning that required liver transplantation. The clinical presentation, medical management, and prognostic criteria in mushroom poisoning are discussed.
Department of Medicine, GI Unit-Hepatology Section Strong, Memorial Hospital, Rochester, New York, USA. burtonj@ohsu.edu
James R
JR
Burton
Charlotte
C
Ryan
Thomas A
TA
Shaw-Stiffel
D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008099:Liver / Q000473:pathology; D017093:Liver Failure / Q000209:etiology / Q000601:surgery*; D016031:Liver Transplantation; D008875:Middle Aged; D009145:Mushroom Poisoning / Q000150:complications / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*