title: Severe rhabdomyolysis, acute renal failure and posterior encephalopathy after 'magic mushroom' abuse.
abstract: 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.
authors.affiliation: Department of Internal Medicine (ICU), J.W. Goethe-University, Frankfurt, Germany. markusbickel@hotmail.com
authors.forename: Markus
authors.initials: M
authors.lastname: Bickel
authors.forename: Tilmann
authors.initials: T
authors.lastname: Ditting
authors.forename: Henrik
authors.initials: H
authors.lastname: Watz
authors.forename: Alexander
authors.initials: A
authors.lastname: Roesler
authors.forename: Stefan
authors.initials: S
authors.lastname: Weidauer
authors.forename: Volkmar
authors.initials: V
authors.lastname: Jacobi
authors.forename: Saskia
authors.initials: S
authors.lastname: Gueller
authors.forename: Christoph
authors.initials: C
authors.lastname: Betz
authors.forename: Stephan
authors.initials: S
authors.lastname: Fichtlscherer
authors.forename: Juergen
authors.initials: J
authors.lastname: Stein
mesh_terms: 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
chemical_list: D006213:Hallucinogens; D011562:Psilocybin