Amanita Zehirlenmesi: 25 Ölümün İrdelenmesi

Year 1992, Volume: 8 Issue: 1, 1 - 12, 30.04.1992

Cansel Çakalır

https://izlik.org/JA79KP37XN

Abstract

1990 ydl eylUI aYll1da istanbul'da 141 ki§i ~evrcden toplaYlp yedi kleri Amanita Falloides lUrU manlardan zehirlenl11i~tir. Blinlardan 1.5 ile 75 ya~ arasll1da 15'i kadll1, 10'u erkek, 16's1 yeli~kin, 9'u ~ocuk olmak iizere 25'i (% 17.7) 1 ile 9 gUn i~inde yu§amlanlll yitirmi§tir. Olglllardan 18'ine otopsi yapdarak, ozellikle karaciger, bobrek, beyin, akciger ve kalpte meydana gc1en histopatolojik dcgi§iklikl cr ~e§illi paramelrelerle ara§tlfllrnl§tlr. En agll· dcjeneralif degi§iklik1crin:
I. Damar du varlannda fibrinoid nckroz vc intravaskuler koagulasyon,
2. Karacigerdc hepalositlerde yaygll1 (steatoz),
3. Bcyinde 4. Bobreklcrde proksimal tUp epitelindc sitoliz, karyoliz vc vakuolizasyon,
5. Akcigcrde konjcssion , intraalveolar kanama ve pnomoni oldugu gbzlenmi§tir.
Halkln ycterincc aydll1latdmamasl nedeni i1c meydana gelen mantar zehirlenmelerinde, reanimasyonun gcciktigi, aglr toksik tablonun ge ri dondUrlilcmcdigi olgularda, iiliim olaylan zaman zaman bUyUk rakamlar halinde k

Keywords

Amanita phalloides , Mantar zehirlenmesi , Amaloksin zehirlenmesi

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