CLINICAL ANALYSIS OF THE MUSHROOM POISONING
Journal of the Korean Society of Emergency Medicine
; : 323-329, 1998.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-170855
Responsible library:
WPRO
ABSTRACT
BACKGROUND:
Mushroom poisonings are infrequent but potentially fatal. Most fatalities are due to the amatoxin containing species, particularly Amanita phalloides, Amanita virosa, Amanita verna which cause fulminant hepatic failure often with encephalopathy.METHODS:
We experienced twenty two patients with acute mushroom poisoning admitted to Dong San hospital, Keimyung University through emergency department between January 1990 and September 1997.RESULTS:
Mean age of the patients was 40.0 years and the ratio of male to female was 1 0.83. Seasonal distribution is 10 patients in July, 3 in August and 9 in September. The mean interval between ingestion and early symptom onset was 9.7 hours. Most of the patients had early gastrointestinal symptoms; abdominal pain, nausea, vomiting and diarrhea. except for a patient with associated mental change. The subsequent symptoms and signs follow up admission were fulminant hepatic failure(72.7%), renal failure(31.8%), mental change(27.3%), acute pancreatitis(9.1%), pericardial effusion(4.5%) and erythematous rash(4.5%). The outcomes of the patients were recovery(72.7%), death(18.2%) and hopeless discharge(9.1%).CONCLUSION:
The patients who have mushroom poisoning are misdiagnosed as having viral gastroenteritis and are discharged frequently. The doctors and people should be educated not to overlook the severity of mushroom poisoning.
Full text:
Available
Health context:
Neglected Diseases
Health problem:
Diarrhea
/
Neglected Diseases
Database:
WPRIM (Western Pacific)
Main subject:
Seasons
/
Vomiting
/
Abdominal Pain
/
Mushroom Poisoning
/
Follow-Up Studies
/
Liver Failure, Acute
/
Agaricales
/
Diarrhea
/
Eating
/
Emergency Service, Hospital
Type of study:
Observational study
/
Prognostic study
Limits:
Female
/
Humans
/
Male
Language:
Korean
Journal:
Journal of the Korean Society of Emergency Medicine
Year:
1998
Document type:
Article