[Liver transplantation after Amanita phalloides poisoning from the viewpoint of anesthesia and intensive care based on three cases].
Experiences of liver transplantation after Amanita phalloides poisoning were analysed in anaesthetic and intensive therapist point of view based on 3 cases. Cardiac problems were found at all patients during the postoperative period. Probably the amatoxin has cardiotoxic effect or a part of phallotoxins are absorbed despite cooking and caused reversible cardiac function impairment. Pancreatitis, DIC, gastrointestinal bleeding, acute renal failure were found at all patients, therefore liver transplantation is only a part of the treatment, complex therapy is necessary in this cases.
Forró
Melinda
M
Semmelweis Egyetem, Altalános Orvostudományi Kar, Transzplantációs és Sebészeti Klinika, Budapest. forrom@hotmail.com
Mándli
Tamás
T
D058186:Acute Kidney Injury / Q000139:chemically induced / Q000628:therapy; D000328:Adult; D000545:Amanita; D000546:Amanitins / Q000506:poisoning*; D000768:Anesthesia, General / Q000379:methods*; D002648:Child; D003131:Combined Modality Therapy; D003422:Critical Care / Q000379:methods*; D004211:Disseminated Intravascular Coagulation / Q000139:chemically induced / Q000628:therapy; D004562:Electrocardiography; D006471:Gastrointestinal Hemorrhage / Q000139:chemically induced / Q000628:therapy; D006329:Heart Conduction System / Q000187:drug effects; D006801:Humans; D017093:Liver Failure / Q000139:chemically induced / Q000601:surgery*; D016031:Liver Transplantation / Q000379:methods*; D008297:Male; D009145:Mushroom Poisoning / Q000150:complications*; D010195:Pancreatitis / Q000139:chemically induced / Q000628:therapy
D000546:Amanitins; C018207:amatoxin