title: A Case of Mushroom Poisoning with Russula subnigricans: Development of Rhabdomyolysis, Acute Kidney Injury, Cardiogenic Shock, and Death.
abstract: Mushroom exposures are increasing worldwide. The incidence and fatality of mushroom poisoning are reported to be increasing. Several new syndromes in mushroom poisoning have been described. Rhabdomyolytic mushroom poisoning is one of new syndromes. Russula subnigricans mushroom can cause delayed-onset rhabdomyolysis with acute kidney injury in the severely poisoned patient. There are few reports on the toxicity of R. subnigricans. This report represents the first record of R. subnigricans poisoning with rhabdomyolysis in Korea, describing a 51-year-old man who suffered from rhabdomyolysis, acute kidney injury, severe hypocalcemia, respiratory failure, ventricular tachycardia, cardiogenic shock, and death. Mushroom poisoning should be considered in the evaluation of rhabdomyolysis of unknown cause. Furthermore, R. subnigricans should be considered in the mushroom poisoning with rhabdomyolysis.
authors.affiliation: Department of Internal Medicine, College of Medicine, Dankook University, Cheonan, Korea .
authors.forename: Jong Tae
authors.identifier: 0000-0001-9479-7433
authors.initials: JT
authors.lastname: Cho
authors.affiliation: Department of Internal Medicine, College of Medicine, Dankook University, Cheonan, Korea .
authors.forename: Jin Hyung
authors.identifier: 0000-0003-3964-456X
authors.initials: JH
authors.lastname: Han
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology*; D001487:Basidiomycota / Q000302:isolation & purification / Q000472:pathogenicity*; D004562:Electrocardiography; D006352:Heart Ventricles / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009145:Mushroom Poisoning / Q000175:diagnosis* / Q000382:microbiology / Q000401:mortality; D012206:Rhabdomyolysis / Q000209:etiology*; D012770:Shock, Cardiogenic / Q000209:etiology*; D017180:Tachycardia, Ventricular / Q000209:etiology
keywords: Acute Kidney Injury; Cardiogenic Shock; Mushroom Poisoning; Respiratory Failure; Rhabdomyolysis