Abstract
Dear Editor,
Mushroompoisoningsmaypresentwithearlyfindings in thefirst 2 hoursandlatefindingsbetween 6 hoursand 20 days. Renalfailurecan be seen in theacuteperiod in fungicontainingorellinandallenicnorleucine, andwithin 2-6 days in speciescontainingcyclopeptide. Patientsapplywithcomplaints of nausea, vomiting, diarrhea, unconsciousness in thefirst 3 daysafteringestion of mushroomscontainingnephrotoxin, andoliguriaandanuriawithin 3-20 days. Patientsmayneeddialysis in additiontosupportivetreatment. Inthisarticle, it wasaimedtoemphasizethatmushroompoisoningshould be considered in thedifferentialdiagnosis of renalfailureandcoma, as in thepatientwhosehistorywaslearnedtohaveeatenmushrooms 10 daysago.
Twenty-nine-year-oldmalepatientwasbroughttotheemergencyroomduetodeterioration in his general conditionandunconsciousness. Inthepatient'shistory, therewerenauseaandvomitingaftereatingmushroomsabout 10 daysago, andantibioticinitiation in an externalcenter. On physicalexamination, the general conditionwaspoor, unconscious, and Glasgow comascalewas 7. Thepatientwho had suddencardiacarrest in theemergencydepartmentwasadmittedtotheintensivecareunitafterresuscitation. Thepatient'sbloodpressurewas 130/90 mmHg, pulse: 112/min, fever: 36.5 C, respiration: 36/min. Otherphysicalexaminationrevealednoabnormality. Inthelaboratorytests of thepatient: Hemoglobin 12.5, platelet 346, glucose 89, Urea 189, Creatinine 14, sodium 127, potassium 7.5, AspartatAminotransferaz 47, alaninAminotransferaz 13, Calcium 8.3, Troponin I 2.39, amylase 146, kreatin kinaz 1279, kreatin kinaz-MB 121, Gama glutamiltransferaz11, Lipase 35 andmetabolicacidosiswasdetected in bloodgas. Thepatientwastakentoemergencyhemodialysis. Hemodialysiswasappliedfor 3 days. Control bloodvalues 5-7. dayureawas 205-79, creatininewas 18-7.On the 7th day, thepatientwasextubated. On the 10th day, thepatientrecoveredcompletelyandwasdischargedvoluntarily.
As a result of mushroompoisoning, lateclinicalkidneyfailure can be seen. Mushroompoisoningshould not be forgotten in patientsbroughttotheemergencyroomwithcoma. If it is not possibletofollow-upthesepatientsafterthecomplaintsthatoccur in thefirstdays, theyshould be informedaboutpossiblelatecomplications.Cultivatedmushroomsshould be preferredtopreventpoisoning
References
- Kalkan Ş, Tunçok Y, Güven H. Cases reported to the Drug and Poison Information Center. Dokuz Eylül University Faculty of Medicine Journal 1998;12:275-83.
- Taban S, Dursun B. Severe acute renal, hepatic and cardiac failure in the setting of rhabdomyolysis due to mushroom poisoningCukurova Med J 2019;44:1515-9.
- Logarenger A, Tuchweber B, Gicquaaud C: Toxicity of peptides of Amanita virosa mushrooms in mice. Fundam appl Toxicol 1985; 5: 1144-52.
- Kohn R, Motovska Z: mushroom poisoning, classification, symptoms and therapy. Vnitr Lek 1997; 43: 230-3.
- Tunçok Y, Kalyoncu NI. Mushroom Poisoning. T.R. Ministry of Health Poisoning Diagnosis and Treatment Guidelines for Primary Care: 137-42. Ankara, Republic of Turkey Ministry of Health Refik Saydam Hygiene Center Directorate of Hygiene School. 2007.
- Eren SH. Mushroom poisoning: retrospective analysis of 294 cases. Clinics (Sao Paulo) 2010;65:491
- Evrenkaya TR, Atasoyu E. Extracorporal technıques ın the treatment of mushroom poısonıng Turkish Journal of Nephrology Dialysis and Transplantation I Official Journal of the Turkish Society of Nephrology 2001;10(l):14-18.
- Horoz M, Özgür Ö. Acute Renal Failure. Harran Medical Faculty Der 2004;1:48-63.
- Fischer RP, Griffen WO Jr, Reiser M, Clark DS. Early dialysis in the treatment of acute renal failure. Surg Gynecol Obstet 1966;123:1019–23.
- de Haro L, Jouglard J, Arditti J, David JM: Acute renal insufficiency caused by Amanita proxima poisoning: experience of the poison Center of Marbeille. Nephrology 1998; 19:21-4. Photo 1a: Cultivated mushrooms (Taken from the archive of Prof. Dr. Ali Karakuş) 1b. Natural mushrooms(Taken from the archive of Prof. Dr. Ali Karakuş)
Abstract
References
- Kalkan Ş, Tunçok Y, Güven H. Cases reported to the Drug and Poison Information Center. Dokuz Eylül University Faculty of Medicine Journal 1998;12:275-83.
- Taban S, Dursun B. Severe acute renal, hepatic and cardiac failure in the setting of rhabdomyolysis due to mushroom poisoningCukurova Med J 2019;44:1515-9.
- Logarenger A, Tuchweber B, Gicquaaud C: Toxicity of peptides of Amanita virosa mushrooms in mice. Fundam appl Toxicol 1985; 5: 1144-52.
- Kohn R, Motovska Z: mushroom poisoning, classification, symptoms and therapy. Vnitr Lek 1997; 43: 230-3.
- Tunçok Y, Kalyoncu NI. Mushroom Poisoning. T.R. Ministry of Health Poisoning Diagnosis and Treatment Guidelines for Primary Care: 137-42. Ankara, Republic of Turkey Ministry of Health Refik Saydam Hygiene Center Directorate of Hygiene School. 2007.
- Eren SH. Mushroom poisoning: retrospective analysis of 294 cases. Clinics (Sao Paulo) 2010;65:491
- Evrenkaya TR, Atasoyu E. Extracorporal technıques ın the treatment of mushroom poısonıng Turkish Journal of Nephrology Dialysis and Transplantation I Official Journal of the Turkish Society of Nephrology 2001;10(l):14-18.
- Horoz M, Özgür Ö. Acute Renal Failure. Harran Medical Faculty Der 2004;1:48-63.
- Fischer RP, Griffen WO Jr, Reiser M, Clark DS. Early dialysis in the treatment of acute renal failure. Surg Gynecol Obstet 1966;123:1019–23.
- de Haro L, Jouglard J, Arditti J, David JM: Acute renal insufficiency caused by Amanita proxima poisoning: experience of the poison Center of Marbeille. Nephrology 1998; 19:21-4. Photo 1a: Cultivated mushrooms (Taken from the archive of Prof. Dr. Ali Karakuş) 1b. Natural mushrooms(Taken from the archive of Prof. Dr. Ali Karakuş)
Details
| Primary Language | English |
|---|---|
| Subjects | Emergency Medicine |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | August 31, 2024 |
| Submission Date | March 8, 2024 |
| Acceptance Date | August 1, 2024 |
| Published in Issue | Year 2024 Volume: 6 Issue: 2 |
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