Case Report
BibTex RIS Cite

Severe acute renal, hepatic and cardiac failure in the setting of rhabdomyolysis due to mushroom poisoning

Year 2019, Volume: 44 Issue: 4, 1515 - 1519, 29.12.2019
https://doi.org/10.17826/cumj.531730

Abstract

Amanita species are the most common cause of mushroom poisoning with a high rate of mortality. A 58 years old woman who had a mushroom intake history 3 days ago was presented with nausea, vomiting and decrease in urine volume. The patient was evaluated to have acute kidney, liver and cardiac injury in the setting of rhabdomyolysis due to mushroom poisoning. Besides medical support therapy she received hemodialysis and plasmapheresis treatments, which resulted in complete clinical and laboratory improvement. We emphasized the significance of mushroom poisoning in the context of their wide clinical presentation spectrum and potentially lethal feature.

References

  • 1) Eren Ş H. 2004 yılı içerisinde Cumhuriyet Üniversitesi Tıp Fakültesi Acil Tıp Anabilim Dalı’na başvuran mantar zehirlenmesi vakalarının değerlendirilmesi. Cumhuriyet Üniversitesi Tıp Fakültesi Dergisi.2005; 27(1):15-18.
  • 2) T.C. Sağlık Bakanlığı Birinci Basamağa Yönelik Zehirlenmeler Tanı ve Tedavi Rehberleri 2007. Mantar Zehirlenmesi. Sayfa:137-42. 3) Eren SH. Mushroom poisoning: retrospective analysis of 294 cases. Clinics (Sao Paulo) 2010;65:491-6.
  • 4) Kalkan Ş, Tunçok Y, Güven H. İlaç ve Zehir Danışma Merkezine bildirilen olgular. Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi 1998;12:275-83.
  • 5) Lionte CC, Sorodoc LL, Simionescu VV. Successful treatment of an adult with Amanita phalloides-induced fulminant liver failure with molecular adsorbent recirculating system (MARS). Rom J Gastroenterol 2005;14:267-71.
  • 6) Powerance HH, Bauness ES, Kohli-Kumar M et al, A 15 year-old boy with fulminant hepatic failure. J Pediatr 2000;137:114-8.
  • 7) Faulstich H: New aspects of Amanita poisoning. Klin Nochenschr 1979;57:143-52.
  • 8) Evrenkaya TR, Atasoyu EM. Mantar zehirlenmelerinde ekstra korporal tedaviler. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi 2001;10:14-8.
  • 9) Leathem AM, Pursell RA, Chan VR, Kroeger PD. Renal failure caused by mushroom poisoning. J Toxicol Clin Toxicol. 1997;35:67. 10) Boutaud O, Roberts LJ. Mechanism based therapeutic approaches to rhabdomyolysis induced renal failure. Free Radic Biol Med. 2011;51:1062-7.
  • 11) Bagley WH, Yang H, Shah KH. Rhabdomyolysis. Intern Emerg Med. 2007;2:210-8.
  • 12) Punkollu G, Gowda RM, Khan IA, Mehta NJ, Navarro V, Vasavda BC. Elevated serum cardiac troponin I in rhabdomyolysis. International Journal of Cardiology 2004;96:35-40.
  • 13) Unverir P, Soner BC, Dedeoğlu E, Karcioğlu O, Boztok K, Tuncok Y. Renal and hepatic injury with elevated cardiac enzymes in Amanita phalloides poisoning: a case report. Hum Exp Toxicol. 2007;26(9):757-61.
  • 14) Aygul N, Duzenli MA, Ozdemir K, Altunkeser BB. A case report of an unusual complication of Amanita phalloides poisoning: Development of cardiogenic shock and its successful treatment with intra-aortic balloon counterpulsation. Toxicon. 2010;55(2-3):630-2.
  • 15) Besancon A, Scmitt C, Glaizal M, et al. Occurence of severe cardiac alterations in Amanita proxima poisoning: two original observations. Ann Fr Anesth Reanim.2012;31(5):466-8.
  • 16) West PL, Lindgren J, Horowitz BZ. Amanita smithiana mushroom ingestion: a case of delayed renal failure and literature review. J Med Toxicol. 2009;5:32.
  • 17) Jander S, Bischoff J, Woodcock BG: Plasmapheresis in the treatment of amanita phalloides poisoning: A rewiev and recommendations. Ther Apher 2000;4:308-12.

Mantar zehirlenmesine bağlı rabdomiyoliz zemininde ağır böbrek, karaciğer ve kalp hasarı

Year 2019, Volume: 44 Issue: 4, 1515 - 1519, 29.12.2019
https://doi.org/10.17826/cumj.531730

Abstract

Mantar zehirlenmelerinin mortalitesi yüksektir, sıklıkla amanita türlerine bağlı gelişir. Elli sekiz yaşında kadın hasta üç gün önce mantar yeme öyküsü ve bulantı, kusma, idrar miktarında azalma şikayetleriyle başvurdu. Değerlendirme sonucunda mantar zehirlenmesine bağlı rabdomiyoliz zemininde akut böbrek, karaciğer ve kardiak hasar olarak değerlendirildi. Hastaya medikal destek tedavi yanı sıra hemodiyaliz ve plazmaferez tedavisi uygulandı, izleminde klinik ve laboratuvar olarak tam düzelme sağlandı. Bu olgu raporunda mantar zehirlenmesinin geniş klinik spektrumu ve ölümcül potansiyeli açısından taşıdığı önemi vurgulamayı amaçladık. 

References

  • 1) Eren Ş H. 2004 yılı içerisinde Cumhuriyet Üniversitesi Tıp Fakültesi Acil Tıp Anabilim Dalı’na başvuran mantar zehirlenmesi vakalarının değerlendirilmesi. Cumhuriyet Üniversitesi Tıp Fakültesi Dergisi.2005; 27(1):15-18.
  • 2) T.C. Sağlık Bakanlığı Birinci Basamağa Yönelik Zehirlenmeler Tanı ve Tedavi Rehberleri 2007. Mantar Zehirlenmesi. Sayfa:137-42. 3) Eren SH. Mushroom poisoning: retrospective analysis of 294 cases. Clinics (Sao Paulo) 2010;65:491-6.
  • 4) Kalkan Ş, Tunçok Y, Güven H. İlaç ve Zehir Danışma Merkezine bildirilen olgular. Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi 1998;12:275-83.
  • 5) Lionte CC, Sorodoc LL, Simionescu VV. Successful treatment of an adult with Amanita phalloides-induced fulminant liver failure with molecular adsorbent recirculating system (MARS). Rom J Gastroenterol 2005;14:267-71.
  • 6) Powerance HH, Bauness ES, Kohli-Kumar M et al, A 15 year-old boy with fulminant hepatic failure. J Pediatr 2000;137:114-8.
  • 7) Faulstich H: New aspects of Amanita poisoning. Klin Nochenschr 1979;57:143-52.
  • 8) Evrenkaya TR, Atasoyu EM. Mantar zehirlenmelerinde ekstra korporal tedaviler. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi 2001;10:14-8.
  • 9) Leathem AM, Pursell RA, Chan VR, Kroeger PD. Renal failure caused by mushroom poisoning. J Toxicol Clin Toxicol. 1997;35:67. 10) Boutaud O, Roberts LJ. Mechanism based therapeutic approaches to rhabdomyolysis induced renal failure. Free Radic Biol Med. 2011;51:1062-7.
  • 11) Bagley WH, Yang H, Shah KH. Rhabdomyolysis. Intern Emerg Med. 2007;2:210-8.
  • 12) Punkollu G, Gowda RM, Khan IA, Mehta NJ, Navarro V, Vasavda BC. Elevated serum cardiac troponin I in rhabdomyolysis. International Journal of Cardiology 2004;96:35-40.
  • 13) Unverir P, Soner BC, Dedeoğlu E, Karcioğlu O, Boztok K, Tuncok Y. Renal and hepatic injury with elevated cardiac enzymes in Amanita phalloides poisoning: a case report. Hum Exp Toxicol. 2007;26(9):757-61.
  • 14) Aygul N, Duzenli MA, Ozdemir K, Altunkeser BB. A case report of an unusual complication of Amanita phalloides poisoning: Development of cardiogenic shock and its successful treatment with intra-aortic balloon counterpulsation. Toxicon. 2010;55(2-3):630-2.
  • 15) Besancon A, Scmitt C, Glaizal M, et al. Occurence of severe cardiac alterations in Amanita proxima poisoning: two original observations. Ann Fr Anesth Reanim.2012;31(5):466-8.
  • 16) West PL, Lindgren J, Horowitz BZ. Amanita smithiana mushroom ingestion: a case of delayed renal failure and literature review. J Med Toxicol. 2009;5:32.
  • 17) Jander S, Bischoff J, Woodcock BG: Plasmapheresis in the treatment of amanita phalloides poisoning: A rewiev and recommendations. Ther Apher 2000;4:308-12.
There are 15 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Case Report
Authors

Sema Taban 0000-0001-6311-1232

Belda Dursun This is me 0000-0003-3235-0577

Publication Date December 29, 2019
Acceptance Date April 26, 2019
Published in Issue Year 2019 Volume: 44 Issue: 4

Cite

MLA Taban, Sema and Belda Dursun. “Mantar Zehirlenmesine bağlı Rabdomiyoliz Zemininde ağır böbrek, karaciğer Ve Kalp Hasarı”. Cukurova Medical Journal, vol. 44, no. 4, 2019, pp. 1515-9, doi:10.17826/cumj.531730.