title: Russula subnigricans Poisoning: From Gastrointestinal Symptoms to Rhabdomyolysis.
abstract: Wild mushroom poisoning is often reported to cause acute liver or renal failure. However, acute rhabdomyolysis caused by wild mushroom poisoning has rarely been reported. We describe 7 patients of 1 family with Russula subnigricans Hongo poisoning. Their clinical manifestations varied from gastrointestinal symptoms to rhabdomyolysis, with 1 fatality. Our report provides supporting evidence that rhabdomyolysis may result from ingestion of R subnigricans mushrooms. A key to survival for patients with rhabdomyolysis caused by R subnigricans poisoning may be early recognition and intensive supportive care.
authors.affiliation: Department of Infectious Diseases, First Affiliated Hospital of Zunyi Medical College, Zunyi, China (Dr Lin, Ms. Mu, and Mr F Yang). Electronic address: linshide6@hotmail.com.
authors.forename: Shide
authors.initials: S
authors.lastname: Lin
authors.affiliation: Department of Infectious Diseases, First Affiliated Hospital of Zunyi Medical College, Zunyi, China (Dr Lin, Ms. Mu, and Mr F Yang).
authors.forename: Maoyuan
authors.initials: M
authors.lastname: Mu
authors.affiliation: Department of Infectious Diseases, First Affiliated Hospital of Zunyi Medical College, Zunyi, China (Dr Lin, Ms. Mu, and Mr F Yang).
authors.forename: Fangwan
authors.initials: F
authors.lastname: Yang
authors.affiliation: Department of Internal Medicine, People's Hospital of Dejiang County, Dejiang, China (Mr C Yang).
authors.forename: Chunfei
authors.initials: C
authors.lastname: Yang
mesh_terms: D000293:Adolescent; D000328:Adult; D001487:Basidiomycota / Q000502:physiology; D002681:China; D017809:Fatal Outcome; D005260:Female; D005767:Gastrointestinal Diseases / Q000175:diagnosis* / Q000382:microbiology / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009145:Mushroom Poisoning / Q000175:diagnosis* / Q000382:microbiology / Q000503:physiopathology / Q000628:therapy*; D012206:Rhabdomyolysis / Q000175:diagnosis* / Q000382:microbiology / Q000503:physiopathology / Q000628:therapy*; D016896:Treatment Outcome; D055815:Young Adult
keywords: Russula subnigricans; basidiomycete; mushroom poisoning; rhabdomyolysis