ABSTRACT
Objective: To explore the characteristics of Banna miniature pig liver failure induced by amanita exitialis. Methods: From September to October 2020, a reverse high performance liquid chromatography (RP-HPLC) method was used to determine the toxin content of amanita exitialis solution, and 2.0 mg/kg amanita exitialis solution (α-amanitins+β-amanitins) was administered orally to Banna miniature pigs. Toxic symptoms, blood biochemical indexes and histopathological changes of liver, heart and kidney were observed at each time point. Results: All Banna miniature pigs died within 76 h of exposure, and different degrees of digestive tract symptoms such as nausea, vomiting and diarrhea appeared between 6 and 36 h. The biochemical indexes of alanine aminotransferase, aspartate aminotransferase, total bilirubin, lactate dehydrogenase, myoglobin, creatine kinase isoenzyme, blood urea nitrogen and creatinine increased significantly at 52 h after exposure, and the differences were statistically significant compared with 0 h (P<0.05). The bleeding of liver and heart was obvious under macroscopic and microscopic observation, hepatocyte necrosis, renal tubule epithelial cell swelling. Conclusion: Large dose of amanita exitialis can cause acute liver failure of Banna miniature pigs, which is in line with the pathophysiological characteristics of acute liver failure, and lays a foundation for further research on the toxic mechanism and detoxification drugs of amanita exitialis induced liver failure.
Subject(s)
Animals , Swine , Amanitins/metabolism , Swine, Miniature/metabolism , Amanita/metabolism , Liver Failure, Acute , Mushroom Poisoning/diagnosisABSTRACT
OBJECTIVES@#To explore the cytotoxicity of four wild mushrooms involved in a case of Yunnan sudden unexplained death (YNSUD), to provide the experimental basis for prevention and treatment of YNSUD.@*METHODS@#Four kinds of wild mushrooms that were eaten by family members in this YNSUD incident were collected and identified by expert identification and gene sequencing. Raw extracts from four wild mushrooms were extracted by ultrasonic extraction to intervene HEK293 cells, and the mushrooms with obvious cytotoxicity were screened by Cell Counting Kit-8 (CCK-8). The selected wild mushrooms were prepared into three kinds of extracts, which were raw, boiled, and boiled followed by enzymolysis. HEK293 cells were intervened with these three extracts at different concentrations. The cytotoxicity was detected by CCK-8 combined with lactate dehydrogenase (LDH) Assay Kit, and the morphological changes of HEK293 cells were observed under an inverted phase contrast microscope.@*RESULTS@#Species identification indicated that the four wild mushrooms were Butyriboletus roseoflavus, Boletus edulis, Russula virescens and Amanita manginiana. Cytotoxicity was found only in Amanita manginiana. The raw extracts showed cytotoxicity at the mass concentration of 0.1 mg/mL, while the boiled extracts and the boiled followed by enzymolysis extracts showed obvious cytotoxicity at the mass concentration of 0.4 mg/mL and 0.7 mg/mL, respectively. In addition to the obvious decrease in the number of HEK293 cells, the number of synapses increased and the refraction of HEK293 cells was poor after the intervention of Amanita manginiana extracts.@*CONCLUSIONS@#The extracts of Amanita manginiana involved in this YNSUD case has obvious cytotoxicity, and some of its toxicity can be reduced by boiled and enzymolysis, but cannot be completely detoxicated. Therefore, the consumption of Amanita manginiana is potentially dangerous, and it may be one of the causes of the YNSUD.
Subject(s)
Humans , HEK293 Cells , Sincalide , China , Amanita , Death, SuddenABSTRACT
This paper reported a case of poisoning caused by ingestion of Amanita neoovoidea. The patient experienced nausea, vomiting, oliguria, acute renal function injury, and was discharged after symptomatic support treatment and blood purification treatment. Given the different toxicity of different mushrooms, species identification of poisonous mushrooms can help clinicians in diagnosis and treatment.
Subject(s)
Humans , Amanita , Acute Kidney InjuryABSTRACT
En esta Parte 4 de la serie de cuatro artículos sobre micetismos se analizan los síndromes que se caracterizan por presentar un período de latencia muy corto, con la aparición de síntomas complejos en menos de 6 horas después de la ingestión de los macromicetos. Se discuten los siguientes micetismos: 1) Toxíndrome muscarínico o colinérgico periférico por especies de Inocybe y Clitocybe. 2) Toxíndrome inmunohemolítico o hemolítico por Paxillus. 3) Toxíndrome neumónico alérgico por Lycoperdon perlatum y por Pholiota nameko. 4) Toxíndrome panterínico o neurotóxico glutaminérgico por compuestos isoxazólicos o síndrome pantherina/muscaria. 5) Toxíndrome coprínico o cardiovascular. 6) Toxíndrome neurotóxico alucinogénico por psilocibina y derivados indólicos. 7) Toxíndrome psicotrópico por estirilpironas y gimnopilinas de Gymnopilus spectabilis o G. junonius. 8) Toxíndrome agudo de rabdomiólisis por Russula subnigricans. 9) Toxíndrome cianogénico por Marasmius oreades. 10) Toxíndrome inmunosupresor por tricotecenos macrocíclicos de Podostroma cornu-damae. 11) Toxíndrome hemolítico debido a ostreolisina de Pleurotus ostreatus y especies relacionadas. Se analizan los síntomas, las toxinas involucradas, los mecanismos de acción, cuando se conocen, y las especies causantes de los micetismos.
This Part 4 of the series of four articles on mushroom poisonings refers to early-onset syndromes, which are characterized by a very short latency period, and the appearance of complex symptoms in less than 6 hours after mushroom ingestion. The following mycetisms are discussed, (1) Peripheral cholinergic, or muscarinic syndrome due to Inocybe and Clitocybe species. (2) Immunohaemolytic or haemolytic syndrome by Paxillus. (3) Allergic pneumonic syndrome due to Lycoperdon perlatum, and Pholiota nameko. (4) Glutaminergic neurotoxic, or pantherinic syndrome by isoxazole compounds or pantherina/muscaria syndrome. (5) Coprinic or cardiovascular syndrome. (6) Hallucinogenic neurotoxic syndrome due to psilocybin and indole derivatives. (7) Psychotropic syndrome by styrylpirones and gymnopilins of Gymnopilus spectabilis or G. junonius. (8) Rhabdomyolysis acute syndrome due to Russula subnigricans. (9) Cyanogenic syndrome by Marasmius oreades. (10) Immunosuppressive syndrome by macrocyclic trichothecenes of Podostroma cornu-damae. (11) Haemolytic syndrome due to ostreolisine of Pleurotus ostreatus, and related species. The symptoms, toxins involved, mechanisms of action, when known, and the species of mushrooms responsible for the mycetisms are analyzed.
Nesta parte 4 da série de quatro artigos sobre intoxicação por cogumelos são analisadas síndromes que se caracterizam por apresentar um período de latência muito breve, com aparecimento de sintomas complexos em menos de 6 horas após a ingestão dos macromicetos. As seguintes intoxicações com cogumelos são discutidas: (1) Toxíndrome muscarínico ou colinérgico periférico por espécies de Inocybe e Clitocybe. (2) Toxíndrome imuno-hemolítica ou hemolítica por Paxillus. (3) Toxíndrome pneumônica alérgica por Lycoperdon perlatum e por Pholiota nameko. (4) Toxíndrome panterínica ou neurotóxica glutaminérgica por compostos isoxazólicos ou síndrome pantherina/muscaria. (5) Toxíndrome coprínica ou cardiovascular (6) Toxíndrome neurotóxico-alucinogênica por psilocibina e derivados indólicos. (7) Toxíndrome psicotrópica por estirilpironas e gimnopilinas de Gymnopilus spectabilis ou G. junonius. (8) Toxíndrome aguda de rabdomiólise por Russula subnigricans. (9) Toxíndrome cianogênica por Marasmius oreades. (10) Toxíndrome imunossupressora por tricotecenos macrocíclicos de Podostroma cornu-damae. (11) Síndrome hemolítica por ostreolisina de Pleurotus ostreatus e espécies relacionadas. São analisados os sintomas, as toxinas envolvidas, os mecanismos de ação, quando conhecidos, e as espécies de cogumelos responsáveis pelas intoxicações.
Subject(s)
Mushroom Poisoning/classification , Mushroom Poisoning/therapy , Trichothecenes , Coprinus , Agaricales , Marasmius , AmanitaABSTRACT
Justificación:El micetismo es la intoxicación producida por la ingestión de setas silvestres, que puede presentarse clínicamente con diferentes síndromes toxicológicos, dependiendo de la especie de hongo involucrada y sus toxinas. Su importancia médicolegal radica en que la ingesta puede ocurrir de manera accidental, homicida o suicida. Objetivo: Revisar aspectos relevantes sobre el micetismo, para el reconocimiento de síndromes toxicológicos asociados a la ingesta de setas. Metodología:Se revisaron diferentes bases de datos utilizando las palabras clave: micetismo, Amanita phalloides, autopsia médicolegal, abordaje diagnóstico. Resultados:A. phalloides, contiene amatoxinas causantes de insuficiencia hepática aguda y las falotoxinas responsables de manifestaciones gastrointestinales 10 horas después de la ingesta, característica del síndrome tóxico faloidiano. Los casos que se describen corresponden a dos femeninas de la misma familia, una mujer adulta 36 años embarazada y su hija de seisaños, procedentes de una comunidad rural en la parte central de Honduras, que fallecieron después de la ingestión de setas silvestres y cuyas autopsias se realizaron en la Dirección de Medicina Forense de Tegucigalpa, para establecer la causa de muerte. En la historia médico legal se consignó que los hongos fueron cocinados por la madre y consumidos por ella y su hija. Conclusión:Es recomendable la capacitación continuade los médicos de emergencia en hospitales, para el reconocimiento de síndromes toxicológicos asociados a la ingesta de setas, con el propósito de tratar oportunamente estos pacientes y ofrecerles mejor oportunidad de sobrevivir...(AU)
Subject(s)
Humans , Female , Child , Adult , Autopsy , Amanita , Mushroom Poisoning , Foodborne Diseases/mortalityABSTRACT
PURPOSE: This study was conducted to evaluate the clinical efficacy of pharmacologic treatment of amatoxin poisoning patients. METHODS: Literature was accessed through PubMed, EMBASE, Cochrane library, KoreaMed, KISS and KMBASE. Studies relevant to human use of pharmacologic therapy including silymarin, penicillin and N-acetylcysteine (NAC) for amanita poisoning were included. Case reports, letters, editorials and papers with insufficient information were excluded. Comparison of clinical outcomes (especially mortality and liver transplantation rate) in each study was analyzed. RESULTS: The final analysis included 13 retrospective studies. None of these studies showed direct comparisons of individual agents. Among 12 studies comparing silymarin vs penicillin, eight showed clinical superiority of silymarin. Among eight studies comparing silymarin with NAC, six showed clinical superiority of silymarin. Among seven studies of NAC vs penicillin, five showed clinical superiority of NAC. CONCLUSION: This systematic review suggested that clinical superiority of various pharmacological agents used to treat amatoxin poisoning is debatable. Nevertheless, the available evidence suggests it is reasonable to consider combinations of multiple agents for patients with amanita poisoning. Further studies are required to establish a treatment regimen for amanita poisoning.
Subject(s)
Humans , Acetylcysteine , Amanita , Liver Transplantation , Mortality , Penicillins , Poisoning , Retrospective Studies , Silymarin , Treatment OutcomeABSTRACT
There are currently over 5,000-known species of mushrooms worldwide. Only 20–25% of mushrooms have been named, and 3% of these are poisonous. More than 95% of mushroom poisoning cases occur due to difficulties associated with the identification of mushroom species. Most of the fatal mushroom poisoning cases recorded to date have been related to the Amanita species. Until now, a case of fatal poisoning caused by Macrolepiota neomastoidea (M. neomastoidea) has not been reported in Asia. A 57-year-old male patient was admitted to the emergency room with nausea, vomiting, diarrhea, and abdominal pain. He reported ingesting wild mushrooms with his mother and sister about 2 days ago. His mother and sister were treated with only supportive care, but he was admitted to the intensive care unit and underwent liver transplantation due to acute liver failure. We are reporting a case of fatal M. neomastoidea intoxication from wild mushrooms, a rare case of mushroom poisoning.
Subject(s)
Humans , Male , Middle Aged , Abdominal Pain , Agaricales , Amanita , Asia , Diarrhea , Emergency Service, Hospital , Intensive Care Units , Liver Failure, Acute , Liver Transplantation , Mothers , Mushroom Poisoning , Nausea , Poisoning , Siblings , VomitingABSTRACT
PURPOSE: Glehnia littoralis has been used to treat ischemic stroke, phlegm, cough, systemic paralysis, antipyretics and neuralgia. The pharmacological mechanisms of Glehnia littoralis include calcium channel block, coumarin derivatives, anticoagulation, anti-convulsive effect, as well as anti-oxidant and anti-inflammatory effects. Alpha-amanitin (α-amanitin) is a major toxin from extremely poisonous Amanita fungi. Oxidative stress, which may contribute to severe hepatotoxicity was induced by α-amanitin. The aim of this study was to investigate whether Glehnia littoralis ethyl acetate extract (GLEA) has the protective antioxidant effects on α-amanitin -induced hepatotoxicity. METHODS: Human hepatoma cell line HepG2 cells were pretreated in the presence or absence of GLEA (50, 100 and 200µg/ml) for 4 hours, then exposed to 60µmol/L of α-amanitin for an additional 4 hours. Cell viability was evaluated using the MTT method. AST, ALT, and LDH production in a culture medium and intracellular MDA, GSH, and SOD levels were determined. RESULTS: GLEA (50, 100 and 200µg/ml) significantly increased the relative cell viability by 7.11, 9.87, and 14.39%, respectively, and reduced the level of ALT by 10.39%, 34.27%, and 52.14%, AST by 9.89%, 15.16%, and 32.84%, as well as LDH by 15.86%, 22.98%, and 24.32% in culture medium, respectively. GLEA could also remarkably decrease the level of MDA and increase the content of GSH and SOD in the HepG2 cells. CONCLUSION: In the in vitro model, Glehnia littoralis was effective in limiting hepatic injury after α-amanitin poisoning. Its antioxidant effect is attenuated by antidotal therapy.
Subject(s)
Humans , Alpha-Amanitin , Amanita , Antioxidants , Antipyretics , Apiaceae , Calcium Channels , Carcinoma, Hepatocellular , Cell Line , Cell Survival , Cough , Coumarins , Fungi , Hep G2 Cells , In Vitro Techniques , Methods , Neuralgia , Oxidative Stress , Paralysis , Poisoning , StrokeABSTRACT
Se presentan dos casos clínicos de intoxicación por A. lilloi, hongos silvestres, que fueron recolectados por quienes los consumieron. Ambas pacientes desarrollaron sintomatología digestiva y evolucionaron a la falla hepática. La consulta tardía retrasó el diagnóstico y el tratamiento, pero igualmente la evolución de ambas pacientes fue favorable.
Two clinical cases of poisoning A. lilloi, wild mushrooms, which were collected by those who consumed themdebe, are presented. Both patients developed gastrointestinal symptoms and progressed to liver failure. The late consultation delayed diagnosis and treatment, but nevertheless the evolution of both patients was favorable.
Subject(s)
Humans , Female , Adult , Middle Aged , Mycotoxicosis/epidemiology , Mycotoxins/poisoning , Amanita , Liver Failure/therapy , Mycotoxins/metabolism , Uruguay/epidemiologyABSTRACT
Se presenta una breve revisión del género Amanita Pers. y posteriormente, se describen los caracteres macromorfológicos de las especies nativas comestibles Amanita diemii Singer y Amanita merxmuelleri Bresinsky & Garrido, las cuales se encuentran distribuidas desde la Región del Maule hasta la Región de Magallanes asociadas a especies del género Nothofagus Blume.
A brief review of the genus Amanita Pers. is presented and then the characters macromorphological of edible native species Amanita diemii Singer and Amanita merxmuelleri Bresinsky & Garrido, which are distributed from the Maule Region to the Magallanes Region described associated with Nothofagus Blume species.
Subject(s)
Agaricales , Amanita/classification , Amanita/pathogenicity , Basidiomycota , Indigenous Peoples , Rural Population , Chile , TreesABSTRACT
Los antioxidantes son esenciales en el cuerpo humano para prevenir el daño oxidativo. Estas sustancias pueden obtenerse de diferentes fuentes como frutas, plantas y hongos. En Guatemala, diversas especies de hongos comestibles son comercializadas y consumidas, sin embargo su actividad antioxidante no ha sido documentada en el país. El objetivo de este estudio fue determinar la actividad antioxidante de extractos acuosos y etanólicos obtenidos de diez especies de basidiomicetos comestibles (Agaricus aff. bisporus, Agaricus brunnescens, Armilla-riella polymyces, Amanita garabitoana, Boletus edulis, Cantharellus lateritius, Laccaria amethystina, Lactarius deliciosus, Neolentinus ponderosus y Pleurotus ostreatus). Se utilizó un método cualitativo por cromatografía en capa fina (CCF) y tres ensayos macrométricos in vitro de cuantificación de fenoles totales, reducción del radical 1,1-difenil-2-pricrilhidrazilo (DPPH) y decoloración del radical catiónico del reactivo ácido 2,2-azinobis-(acido-3-etilbenzotiazolina-6-sulfónico)(ABTS). Los extractos acuosos mostraron mayor actividad antioxidante que los extractos etanólicos en todas las técnicas cuantitativas realizadas. La especie que mostró mayor actividad antioxidante en ambos extractos fue B. edulis, cuyos resultados en el extracto acuoso fueron: fenoles totales 93.46 ± 18.17 mg/g, DPPH CI 50 0.93 mg/mL (IC95% 0.65-1.28) y en ABTS CI50 0.96 mg/mL (IC 95% 0.63-1.35); los resultados en el extracto etanólico fueron: Fenoles totales 42.70 ± 3.48 mg/g, DPPH CI50 2.75 mg/mL (IC 95% 2.46-3.07) y 4.13 mg/mL (IC 95% 2.67-5.88). Se evidencia de esta forma que las especies de basidiomicetos estudiadas presentan actividad antioxidante por lo cual pueden ser una fuente potencial de antioxidantes naturales.
Antioxidants are essential in the body to prevent oxidative damage. These antioxidant substances are obtained from different sources such as fruits, plants and mushrooms. In Guatemala, diverse species of mushrooms are commercialized and consumed, however their antioxidant activity has not been documented in Guatemala. The goal of this study aimed to determine the antioxidant activity of aqueous and ethanolic extracts obtained from edible basidiomycetes species: Agaricus aff. bisporus, A. brunnescens, Armillariella polymyces, Amanita garabitoana, Boletus edulis, Cantharellus lateritius, Laccaria amethystina, Lactarius deliciosus, Neolentinus ponderosus and Pleurotus ostreatus. Thin layer chromatography (TLC) was used as a qualitative method to determine the presence of antioxidant activity, subsequently, three in vitro macrometric assays were used: the quantification of total phenolics, reduction of 1,1-diphenyl-2-pricrilhidrazil (DPPH) radical, and discoloration of the acid reagent 2.2 -azinobis-(acid-3-ethylbenzothiazoline-6-sulfonic acid) (ABTS) radical cation. Aqueous extracts exhibited higher antioxidant activity than ethanolic in all the quantitative techniques used. The specie that showed greater antioxidant activity in both extracts was B. edulis, whose results of aqueous extract were as follows: Total phenolics 93.46 ± 18.17 mg/g , DPPH IC50 0.93 mg/mL (CI95% 0.65-1.28) and ABTS IC50 0.96 mg/mL (CI95% 0.63-1.35); results of ethanolic extract were: Total phenolics 42.70 ± 3.48 mg/g, DPPH IC50 2.75 mg/mL (CI95% 2.46-3.07) and ABTS IC50 4.13 mg/mL (CI95% 2.67-5.88). Based in the result of the study all the basidiomycetes species that were evaluated have antioxidant activity, therefore, are potential sources of natural antioxidants.
Subject(s)
Humans , Male , Female , Agaricus campestris , Functional Food , AmanitaABSTRACT
Amanita (Agaricales, Basidiomycota) is one of the most well-known genera composed of poisonous mushrooms. This genus of almost 500 species is distributed worldwide. Approximately 240 macrofungi were collected through an ongoing survey of indigenous fungi of Mt. Jeombong in Inje County, Korea in 2014. Among these specimens, 25 were identified as members of Amanita using macroscopic features. Specimens were identified to the species level by microscopic features and molecular sequence analyses of the internal transcribed spacer and large subunit of nuclear ribosomal RNA. We molecularly identified 13 Amanita species, with seven species matching previously recorded species, four species (A. caesareoides, A. griseoturcosa, A. imazekii, and A. sepiacea) new to Korea, and two unknown species.
Subject(s)
Agaricales , Amanita , Fungi , Korea , RNA, Ribosomal , Sequence AnalysisABSTRACT
Mushroom-related poisoning can cause acute kidney injury. Here we report a case of acute kidney injury after ingestion of Amanita punctata, which is considered an edible mushroom. Gastrointestinal symptoms occurred within 24 hours from the mushroom intake and were followed by an asymptomatic period, acute kidney injury, and elevation of liver and pancreatic enzymes. Kidney function recovered with supportive care. Nephrotoxic mushroom poisoning should be considered as a cause of acute kidney injury.
Subject(s)
Acute Kidney Injury , Agaricales , Amanita , Eating , Kidney , Liver , Mushroom Poisoning , PoisoningABSTRACT
Mushroom poisoning widely reported in Oriental and Western literature, is typically caused by accidental ingestion of toxic mushrooms that resemble edible mushrooms. Reports about poisoning due to species of Omphalotus, Amanita, Clitocybe, and other toxic mushroom species have been reported; toxicity depends on the mushroom species and the amount of toxin, which varies according to the climatic and environmental conditions. Symptoms of poisoning, such as unspecific nausea, vomiting, and diarrhea, as well as intestinal, hepatic and renal toxicities, also vary according to the mushroom species. Most patients recover with anti-muscarinic therapy and supportive care for nonspecific symptoms; however some cases of poisoning are fatal in children and elderly people. We report a case of sudden death due to mushroom poisoning in a 74-year-old woman, with hemorrhagic enteritis.
Subject(s)
Aged , Child , Female , Humans , Agaricales , Amanita , Death, Sudden , Diarrhea , Eating , Enteritis , Mushroom Poisoning , Nausea , Poisoning , VomitingABSTRACT
En la Facultad de Ciencias Exactas y Naturales de la Universidad de Buenos Aires (FCEN-UBA) funciona el Servicio de Identificación de Hongos Tóxicos. Lo integran los investigadores del Programa de Plantas Medicinales y Programa de Hongos que Intervienen en la Degradación Biológica (PROPLAME-PRHIDEB, CONICET) y colabora con servicios médicos, estatales y privados, identificando los materiales remitidos en casos de intoxicaciones con hongos, permitiendo, en muchos casos, realizar el tratamiento adecuado. El presente trabajo da a conocer los casos atendidos por el servicio desde 1985 hasta 2012 inclusive, además de una tabla para reconocer las especies tóxicas más comunes de la región. Según esta información, el 47% de las consultas que se recibieron correspondieron a pacientes menores de 18 años de edad que ingirieron materiales fúngicos de forma accidental (o al menos se sospechaba que lo hubieran hecho). El 53% restante correspondió a adultos que afirmaron ser capaces de distinguir hongos comestibles de tóxicos. Se determinó que Chlorophyllum molybdites fue la principal especie causante de intoxicaciones, la cual es comúnmente confundida con el hongo comestible Macrolepiota procera. En segundo lugar Amanita phalloides, un hongo altamente tóxico, que se caracteriza por presentar inicio de síntomas en forma tardía (latencia de 6-10 horas), evolucionando a falla hepática con el consiguiente requerimiento de trasplante o la muerte, si no se realiza el tratamiento adecuado en forma oportuna.
In Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires there is a service called Servicio de Identificación de Hongos Tóxicos, directed by researchers of the Program of Medicinal Plants and Fungi Involved in Biological Degradation (PROPLAME-PRHIDEB, CONICET) that assist hospitals and other health establishments, identifying the different samples of fungi and providing information about their toxicity, so that patients can receive the correct treatment. The objective of the present study was to analyze all the cases received from 1985 to 2012. This analysis permitted the confection of a table identifying the most common toxic species. The information gathered revealed that 47% of the patients were under 18 years of age and had eaten basidiomes; the remaining 53% were adults who insisted that they were able to distinguish edible from toxic mushrooms. Chlorophyllum molybdites turned out to be the main cause of fungal intoxication in Buenos Aires, which is commonly confused with Macrolepiota procera, an edible mushroom. In the second place Amanita phalloides was registered, an agaric known to cause severe symptoms after a long period of latency (6-10 hours), and which can lead to hepatic failure even requiring a transplant to prevent severe internal injuries or even death, is not early and correctly treated.
Subject(s)
Adolescent , Adult , Female , Humans , Male , Young Adult , Agaricales/classification , Mushroom Poisoning , Argentina , Agaricales/pathogenicity , Amanita/classification , Amanita/pathogenicity , Mycotoxins/analysis , Time FactorsABSTRACT
We collected nearly 70 specimens of Amanita species during a diversity study of Korean mushrooms conducted in 2012. In this study, we primarily investigated 23 Amanita specimens belonging to sections Amanita and Vaginatae. Based on sequence data of the internal transcribed spacers and partial large subunit of ribosomal RNA and morphological characteristics, we identified the following 15 phylogenetic species: A. alboflavescens, A. ceciliae, A. farinosa, A. fulva, A. griseofolia, A. ibotengutake, A. melleiceps, A. orientifulva, A. pantherina, A. rubrovolvata, A. sinensis, A. subglobosa, A. vaginata, A. cf. vaginata f. alba, and an undescribed Amanita species. In this study, four of the identified Amanita species (A. griseofolia, A. ibotengutake, A. orientifulva, and A. sinensis) were reported for the first time in Korea.
Subject(s)
Agaricales , Amanita , Korea , Phylogeny , RNA, RibosomalABSTRACT
Amanita Pers. is a well-known monophyletic mushroom genus with a broad distribution. However, the diversity of Korean Amanita species has been underestimated, and most taxonomic studies conducted in Korea have only investigated their morphological characteristics. This approach is frequently insufficient for correct identification in fungal classification; therefore, we constructed a phylogeny of Amanita subgen. Lepidella in order to understand the phylogenetic placements of 16 Amanita specimens collected in Korea in 2012. The phylogeny constructed using the sequence data of the internal transcribed spacers and the partial large subunit of ribosomal RNA identified nine Amanita species (A. citrina, A. excelsa var. spissa, A. flavipes, A. fritillaria, A. oberwinklerana, A. pallidorosea, A. rubescens, A. subjunquillea, and A. volvata); of these, A. fritillaria, A. oberwinklerana, and A. pallidorosea are new to Korea.
Subject(s)
Agaricales , Amanita , Classification , Fritillaria , Korea , Phylogeny , RNA, RibosomalABSTRACT
<p><b>OBJECTIVE</b>To observe the curative effects of transmetil on Amanita verna poisoning.</p><p><b>METHODS</b>Twelve cases with Amanita verna poisoning were reviewed. The patients were divided into 2 groups according to usage of transmetil: Group A was treated with traditional protocol (gastric lavage, catharsis, rehydration, diuresis, anti-infection and hemodialysis), Group B was treated with traditional protocol combined with transmetil. The liver function changes on the 1st, 3rd, 5th and 7th day after poisoning and the mortality were compared between 2 groups.</p><p><b>RESULTS</b>Two cases in group A (6 patients) died. The mortality of group A was 33.3%. The AST levels continued to increase on the 3rd and 5th day, but decreased on the 7th day. TBIL continued to increased on the 1st, 3rd, 5th and 7th day. None in group B died. The TBIL level dropped at 7 d 5 patients showed an increase in ALT at 7 d and 3 patients showed a decrease in AST at 7 d.</p><p><b>CONCLUSION</b>Transmetil may play an important role in reducing the mortality of Amanita verna poisoning.</p>