[Acute mushrooms poisoning].
The collection and consumption of wild mushrooms by individuals with no mycological knowledge and their accidental ingestion by minors are responsible for a growing increase of poisonings. It is not usual for emergency care of a patient affected by mushroom poisoning to be based on recognition of the responsible species of fungus or access to a sample of the mushroom consumed. It is this reason knowledge of toxidromes is crucial. In the majority of cases, the symptoms are weak. Mortality is usually related to the development of potentially fatal liver necrosis after consumption of the fungus Amanita phalloides and others which contain amatoxins. Treatment is based on support measures but no specific treatments exist that are based on scientifically proven studies. In the following article the clues used in diagnosing which make it possible to carry out a syndromic diagnosis based on a period of latency will be analyzed. The mushrooms that are responsible for the most common syndromes, therapeutic options, as well as varieties of toxic fungus which may produce peculiar and exceptional symptoms are also reported.
Benítez-Macías
J F
JF
Servicio de Urgencias. Hospital Universitario Puerto Real. Puerto Real. Cádiz. España. da_ga_gil@hotmail.com
García-Gil
D
D
Brun-Romero
F M
FM
Nogué-Xarau
S
S
D000208:Acute Disease; D000465:Algorithms; D006801:Humans; D009145:Mushroom Poisoning / Q000175:diagnosis / Q000628:therapy; D017410:Practice Guidelines as Topic; D013577:Syndrome