Studija slučaja
AMANITA PHALLOIDES POISONING, EARLY ACTIVATED CHARCOAL PLUS N-ACETYL CYSTEINE TREATMENT: CASE REPORT ANDA BRIEF LITERATURE REVIEW
LOUI M. AL-HUSINAT
; Odjel za kliničke medicinske znanosti, Medicinski fakultet, Sveučilište Yarmouk, Yarmouk, Jordan
GIUSEPPE FERRARA
orcid.org/0009-0006-7985-857X
; Odjel za anesteziju i jedinica za intenzivno liječenje, Sveučilište u Foggiai, Foggia, Italija
ALAMEEN ALSABBAH
orcid.org/0000-0002-5845-3622
; Medicinski fakultet, Sveučilište Yarmouk, Yarmouk, Jordan
ANTONELLA COTOIA
; Odjel za anesteziju i jedinica za intenzivno liječenje, Sveučilište u Foggiai, Foggia, Italija
RENATA BECK
orcid.org/0000-0001-8352-7219
; Odjel za anesteziju i jedinica za intenzivno liječenje, Sveučilište u Foggiai, Foggia, Italija
Sažetak
Consumption of wild poison mushrooms is one of the serious poisonings which may end in death. The present case report and recent literature review describe Amanita phalloides mushroom poisoning and possible treatment for this emergency state. A 59-year-old male presented in the Emergency Unit of the Foggia University Hospital, Italy, with clinical signs of extreme dizziness, nausea, vomiting, and diarrhea, 12 h after consuming one ovule of a wild mushroom that was mistaken for an edible ovule of the Boletus edulis mushroom. The suspected poison mushrooms were collected in the forest near the city of Foggia, Italy. Urgent examination of urine showed the presence of _-amanitin. After 6 days of intensive and supportive treatment with activated charcoal and N-acetyl cysteine, the patient was transferred to the internal medicine department and discharged without organ complications 10 days after mushroom ingestion. Early recognition of mushroom poisoning and immediate intensive treatment with supportive care give the patients a better chance for survival after this fatal poisoning.
Ključne riječi
activated charcoal; Amanita phalloides; amatoxins; mushrooms; poisoning; N-acetyl cysteine
Hrčak ID:
307184
URI
Datum izdavanja:
10.8.2023.
Posjeta: 279 *