title: Amanita muscaria and Amanita pantherina poisoning: two syndromes.
abstract: Amanita muscaria contains more excitatory ibotenic acid and less depressant muscimol compared to Amanita pantherina. In this study A. muscaria poisoned patients were more often confused (26/32, p = 0.01) and agitated (20/32, p = 0.03) compared to those poisoned with A. pantherina (8/17 and 5/17). Patients poisoned with A. pantherina were more commonly comatose (5/17) compared to those poisoned with A. muscaria (2/32) (p = 0.03). In conclusion, the so-called ibotenic or pantherina-muscaria syndrome might be divided into two subtypes.
authors.affiliation: Poison Control Centre, Division of Internal Medicine, University Medical Centre Ljubljana, Zaloška cesta 7, Slovenia. Electronic address: vendramin.andreja@gmail.com.
authors.forename: Andreja
authors.initials: A
authors.lastname: Vendramin
authors.affiliation: Poison Control Centre, Division of Internal Medicine, University Medical Centre Ljubljana, Zaloška cesta 7, Slovenia. Electronic address: miran.brvar@kclj.si.
authors.forename: Miran
authors.initials: M
authors.lastname: Brvar
mesh_terms: D000545:Amanita; D006801:Humans; D009145:Mushroom Poisoning / Q000175:diagnosis* / Q000503:physiopathology; D012189:Retrospective Studies; D013577:Syndrome
keywords: Agitation; Amanita muscaria; Amanita pantherina; Coma; Confusion; Poisoning