Amanita bisporigera ingestion: mistaken identity, dose-related toxicity, and improvement despite severe hepatotoxicity.
Ingestion of wild mushrooms has led to unintentional poisonings caused by mistaken identity. We report 3 cases of exposure to Amanita bisporigera, demonstrating dose-related toxicity. The use of nasobiliary drainage as a novel approach to interrupting the enterohepatic circulation of amatoxins is illustrated. Pathophysiology and treatment of Amanita poisoning are reviewed.
Madhok
Manu
M
Missouri Regional Poison Center, Cardinal Glennon Children's Hospital, St Louis, MO, USA. Manu.Madhok@childrenshc.org
Scalzo
Anthony J
AJ
Blume
Carolyn M
CM
Neuschwander-Tetri
Brent A
BA
Weber
Julie A
JA
Thompson
Michael W
MW
D000293:Adolescent; D000545:Amanita; D056486:Chemical and Drug Induced Liver Injury / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D006801:Humans; D008297:Male; D009145:Mushroom Poisoning / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D012720:Severity of Illness Index