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

Sema Taban , Belda Dursun

https://doi.org/10.17826/cumj.531730

Cited By: 1

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.

Keywords

Mushroom poisoning, acute kidney injury, rhabdomyolysis, cardiac injury

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

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. 

Keywords

mantar zehirlenmesi, akut böbrek hasarı, rabdomiyoliz, kardiak hasar

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