[Amanita pantherina poisoning or brain stroke?].
A case of a 72-year-old female who ingested panther cap (Amanita pantherina) was presented. During the ingestion of mushrooms she developed short-time diarrhea and severe transient neurological disorders; short-term hallucination followed by deep coma, skeletal muscle flaccidity with hyporeflexia. Also significant facial asymmetry was noted. A head CT showed a small ischaemic focus in capsula interna. After a neurological consult it was concluded that this small malformation was not the cause of severe patient's condition. The sporological test revealed numerous spores of panther cap in patient's vomit. After the next 6 hours complete resolution of neurological symptoms was observed. Finally it was assumed that patient's symptoms and signs were most probably a result of panther cap poisoning complicated with transient ischaemia of the brain.
Magdalan
Jan
J
Oddzial Ostrych Zatruć, Dolnoślqskiego Szpitala Specjalistycznego im. T. Marciniaka we Wrocławiu. naladgam@op.pl
Antończyk
Andrzej
A
D000208:Acute Disease; D000368:Aged; D000545:Amanita / Q000302:isolation & purification / Q000648:ultrastructure; D001921:Brain / Q000000981:diagnostic imaging; D003128:Coma / Q000000981:diagnostic imaging / Q000209:etiology; D003937:Diagnosis, Differential; D005260:Female; D006212:Hallucinations / Q000000981:diagnostic imaging / Q000209:etiology; D006801:Humans; D002546:Ischemic Attack, Transient / Q000175:diagnosis* / Q000209:etiology*; D008297:Male; D009145:Mushroom Poisoning / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D013172:Spores, Fungal / Q000302:isolation & purification / Q000648:ultrastructure; D020521:Stroke / Q000000981:diagnostic imaging / Q000209:etiology; D014057:Tomography, X-Ray Computed; D014839:Vomiting / Q000382:microbiology