[Intoxications specific to the Aquitaine region].
Some intoxications are more specifically linked to the Aquitaine region than to other regions of France, due to environmental circumstances (fauna, flora, climate) or traditional activities (gastronomy). Three types of intoxications are particular in this area. Pine processionary caterpillar envenomations (Thaumetopoea pityocampa), a Southern Europe pinewood parasite, are frequently encountered in the Landes' forest. They are responsible of ocular and/or skin lesions with urticaria or contact dermatitis, seldom associated with immediate IgE hypersensitivity. According to the south Atlantic coastal region geology and the marine streams, venomous marine animals are mainly located in Charente-Maritime for jellyfish, in Gironde and in Landes for weeverfish and in Atlantic Pyrenees for sea anemone. Usually not dangerous, first-aid workers treat most cases of these envenomations. Some endemic mushrooms (Tricholoma auratum) which grow on the dunes of the Atlantic coastal region, are usually considered as very good comestibles, but were recently responsible for serious intoxications: T.auratum was responsible of several cases of rhabdomyolysis, without neurological involvement, nor renal or hepatic lesion. Three deaths were notified. Animal studies confirmed the responsibility of the mushrooms.
UHSI, pôle médico-judiciaire, hôpital Pellegrin, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France. regis.bedry@chu-bordeaux.fr
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D000818:Animals; D001180:Arthropod Venoms / Q000009:adverse effects; D001733:Bites and Stings / Q000453:epidemiology*; D003877:Dermatitis, Contact / Q000453:epidemiology / Q000209:etiology; D005602:France / Q000453:epidemiology; D006801:Humans; D007915:Lepidoptera; D008387:Marine Toxins / Q000009:adverse effects; D009145:Mushroom Poisoning / Q000453:epidemiology; D009183:Mycotoxins / Q000009:adverse effects; D012206:Rhabdomyolysis / Q000139:chemically induced / Q000453:epidemiology
D001180:Arthropod Venoms; D008387:Marine Toxins; D009183:Mycotoxins