title: A series of cases of rhabdomyolysis after ingestion of Tricholoma equestre.
abstract: Tricholoma equestre(hereinafter -T. equestre) is a common edible fungus that is considered to be toxic under certain conditions. Here, we report four cases of acute poisoning caused byT. equestre, including one lethal outcome in Lithuania between 2004 and 2013. In the severe case, fatigue, nausea without vomiting and muscle pain, profuse sweating without fever, and respiratory insufficiency occurred. Laboratory tests showed an elevation of creatine kinase (CK), aspartate aminotransferase (AST), and alanine aminotransferase (ALT). Although clinical findings and laboratory tests support evidence of rhabdomyolysis, no renal insufficiency was observed. Significance ofT. equestrein cardiac changes is feasible but remains unclear.
authors.affiliation: Republican Vilnius University Hospital, Centre of Toxicology, Vilnius, Lithuania.
authors.forename: Gabija
authors.initials: G
authors.lastname: Laubner
authors.affiliation: Republican Vilnius University Hospital, Centre of Toxicology, Vilnius, Lithuania.
authors.forename: Gabija
authors.initials: G
authors.lastname: Mikulevičienė
keywords: Tricholoma equestre; creatine kinase; mushroom poisoning; rhabdomyolysis