Severe rhabdomyolysis, acute renal failure and posterior encephalopathy after 'magic mushroom' abuse.
We report the case of a 25-year-old, hepatitis C-infected man, who presented with severe rhabdomyolysis and acute renal failure, and later developed posterior encephalopathy with cortical blindness after the ingestion of magic mushrooms. Conventional respiratory and cardiovascular support including mechanical ventilation, continuous veno-venous hemodialysis and corticosteroids led to improvement and the patient recovered completely over the following months. Magic mushrooms are becoming increasingly fashionable among drug users, as they are believed to be more harmless than other hallucinogenic designer drugs. So far, little is known about their possible severe side effects.
Bickel
Markus
M
Department of Internal Medicine (ICU), J.W. Goethe-University, Frankfurt, Germany. markusbickel@hotmail.com
Ditting
Tilmann
T
Watz
Henrik
H
Roesler
Alexander
A
Weidauer
Stefan
S
Jacobi
Volkmar
V
Gueller
Saskia
S
Betz
Christoph
C
Fichtlscherer
Stephan
S
Stein
Juergen
J
D058186:Acute Kidney Injury / Q000139:chemically induced / Q000150:complications*; D000328:Adult; D002493:Central Nervous System Diseases / Q000150:complications; D006213:Hallucinogens / Q000506:poisoning*; D006801:Humans; D008297:Male; D009145:Mushroom Poisoning / Q000503:physiopathology* / Q000628:therapy; D011562:Psilocybin / Q000506:poisoning*; D012206:Rhabdomyolysis / Q000150:complications* / Q000209:etiology / Q000503:physiopathology; D019966:Substance-Related Disorders
D006213:Hallucinogens; D011562:Psilocybin