title: Acute hepatorenal failure in a patient following consumption of mushrooms: a case report.
abstract: BACKGROUND
  One of the highly toxic mushrooms that are common in the northwest region of Iran is Amanita phalloides, which might result in renal or liver failure.
  
  
  METHODS
  This is a case report of a patient referred a few days after consumption of wild mushrooms to emergency department having gastrointestinal complaint whose experiments indicated liver and renal failure. The supportive treatment was given to the patient prescribing N-acetyl cysteine (NAC) and Livergol (silymarin) along with hemodialysis. A few days after admission to the hospital, the patient died due to severe clinical symptoms.
  
  
  CONCLUSIONS
  The patient was poisoned by A. phalloides complaining gastrointestinal symptoms including nausea; vomiting and watery diarrhea about six hours after consumption and then, amatoxin in the mushroom caused damage to hepatocytes and renal cells and finally led to hepatorenal failure. Deaths caused by this type of mushroom are extremely high and necessary trainings should be provided to the people by the health system not to consume wild mushrooms, especially in spring and summer.
authors.affiliation: Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, IR Iran.
authors.forename: Farzad
authors.initials: F
authors.lastname: Rahmani
authors.affiliation: Department of Emergency Medicine, Tabriz University of Medical Sciences, Tabriz, IR Iran.
authors.forename: Hanieh
authors.initials: H
authors.lastname: Ebrahimi Bakhtavar
authors.affiliation: Department of Emergency Medicine, Tabriz University of Medical Sciences, Tabriz, IR Iran.
authors.forename: Atefeh
authors.initials: A
authors.lastname: Ghavidel
keywords: Liver Failure; Mushroom Poisoning; Renal Insufficiency