title: [Amanita phalloides poisoning as an indication for liver transplantation in three family members].
abstract: Amanita phalloides poisoning is one of the most dramatic medical invents. The course of the illness may vary from mild to the lethal, with signs of fulminant liver insufficiency with coma and multiorgan failure. When hepatic encephalopathy (III/IV degrees) occurs the prognosis is very poor. In definite cases the liver transplantation is necessary. The authors present severe Amanita phalloides poisoning in three family members, who due to fulminant hepatic failure underwent liver transplantation. The two of them (son and father) transplanted accordingly in fifth and seventh day after poisoning, survived. Mother, in whom transplantation started in ninth day after poisoning, died intraoperativel with signs of massive hemorrhage, and cardiac arrest.
authors.affiliation: Kliniki Gastroenterologii, Hepatologii i Immunologii, Instytutu Pomnik-Centrum Zdrowia Dziecka w Warszawie. j.pawlowska@czd.pl
authors.forename: Joanna
authors.initials: J
authors.lastname: Pawłowska
authors.forename: Jacek
authors.initials: J
authors.lastname: Pawlak
authors.forename: Andrzej
authors.initials: A
authors.lastname: Kamiński
authors.forename: Piotr
authors.initials: P
authors.lastname: Hevelke
authors.forename: Irena
authors.initials: I
authors.lastname: Jankowska
authors.forename: Mikołaj
authors.initials: M
authors.lastname: Teisseyre
authors.forename: Marek
authors.initials: M
authors.lastname: Szymczak
authors.forename: Piotr
authors.initials: P
authors.lastname: Kalicińiski
authors.forename: Marek
authors.initials: M
authors.lastname: Krawczyk
mesh_terms: D000293:Adolescent; D000328:Adult; D000545:Amanita; D005260:Female; D006501:Hepatic Encephalopathy / Q000209:etiology*; D006801:Humans; D017093:Liver Failure / Q000209:etiology* / Q000601:surgery*; D016031:Liver Transplantation; D008297:Male; D009145:Mushroom Poisoning / Q000150:complications*