Delayed onset acute renal failure associated with Amanita pseudoporphyria Hongo ingestion.
A 66-year-old man with diabetes developed acute renal failure after ingestion of Amanita pseudoporphyria Hongo. Laboratory data showed acute nonoliguric renal failure. A renal biopsy showed acute tubular necrosis with glomerular minor abnormalities. He received hemodialysis treatment for 3 weeks and his renal function normalized 2 months after admission. We discuss the differences in acute renal failure caused by possible toxins of Amanita pseudoporphyria Hongo from that caused by other poisonous mushrooms.
Iwafuchi
Yoichi
Y
Department of Internal Medicine, Koseiren Sanjo General Hospital, 5-1-62 Tsukanome, Sanjo 955-0055.
Morita
Takashi
T
Kobayashi
Hideyuki
H
Kasuga
Kensaku
K
Ito
Kazuhisa
K
Nakagawa
Osamu
O
Kunisada
Kaoru
K
Miyazaki
Shigeru
S
Kamimura
Akira
A
D058186:Acute Kidney Injury / Q000209:etiology* / Q000473:pathology; D000368:Aged; D000545:Amanita; D006801:Humans; D007564:Japan; D007683:Kidney Tubular Necrosis, Acute / Q000209:etiology / Q000473:pathology; D008297:Male; D009145:Mushroom Poisoning / Q000150:complications*; D013045:Species Specificity; D013997:Time Factors