Multiple Organ Failure Due to Fungal Intoxication; Case Report
Abstract
A 35-year-old female patient was admitted to our hospital with organ failure due to excessive consumption of wild mushrooms. She had a medical history of previous tuberculosis and, in accordance with it, a destructed lung. Hepatorenal syndrome and encephalopathy clinics were established. The patient's clinical findings related to fungal intoxication declined with penicillin G and supportive fluid electrolyte treatment, however, the patient died from ARDS due to her destructed lung. Fungal intoxication may be asymptomatic throughout the incubation period. Health care professionals should consider that fungal intoxication may also occur in patients admitted with asymptomatic symptoms due to seasonal conditions and nutritional habits.
Keywords
References
- Reference 1. Ergüven, M., Çakı, S., & Deveci, M.. Mantar zehirlenmesi: 28 vakanın değerlendirilmesi. Çocuk Sağlığı ve Hastalıkları Dergisi.2004. 47(4), 249-53.
- Reference 2. Sonmez, B. Demographic and Clinical Characteristics of Mushroom Poisonings Presenting to Emergency Department. Journal of Clinical and Analytical Medicine. 2014. 6(100), 469-472.
- Reference 3. Chew, K. S., Mohidin, M. A., Ahmad, M. Z., Kamauzaman, T. H. N. T., & Mohamad, N. Early onset muscarinic manifestations after wild mushroom ingestion. International journal of emergency medicine. 2008. 1(3), 205-208.
- Reference 4. Kintziger, K. W., Mulay, P., Watkins, S., Schauben, J., Weisman, R., Lewis-Younger, C., et all. Wild mushroom exposures in Florida, 2003–2007. Public Health Reports. 2011. 126(6), 844-852.
- Reference 5. Ye, Y., & Liu, Z.. Management of Amanita phalloides poisoning: A literature review and update. Journal of critical care. 2018.Aug;46:17-22.
- Reference 6. Magdalan, J., Piotrowska, A., GomuŁkiewicz, A., Sozański, T., Podhorska-OkoŁów, M., Szeląg, A., et all. Benzylpenicyllin and acetylcysteine protection from α-amanitin-induced apoptosis in human hepatocyte cultures. Experimental and toxicologic pathology. 2011. 63(4), 311-315.
- Reference 7. Wittebole, X., & Hantson, P. Use of the molecular adsorbent recirculating system (MARS™) for the management of acute poisoning with or without liver failure. Clinical Toxicology. 2011. 49(9), 782-793.
- Reference 8. Evenepoel, P., Laleman, W., Wilmer, A., Claes, K., Maes, B., Kuypers, D., et all. Detoxifying capacity and kinetics of Prometheus®–a new extracorporeal system for the treatment of liver failure. Blood purification. 2005. 23(5), 349-358.
Details
Primary Language
English
Subjects
Emergency Medicine
Journal Section
Case Report
Authors
İlksen Dönmez
*
0000-0001-8581-6583
Türkiye
Handan Çiftçi
Türkiye
Eray Atalay
Türkiye
Gülşen Çığşar
This is me
Türkiye
Publication Date
March 1, 2019
Submission Date
January 4, 2019
Acceptance Date
February 19, 2019
Published in Issue
Year 2019 Volume: 1 Number: 1