Case report, case study
AMANITA PHALLOIDES POISONING, EARLY ACTIVATED CHARCOAL PLUS N-ACETYL CYSTEINE TREATMENT: CASE REPORT ANDA BRIEF LITERATURE REVIEW
LOUI M. AL-HUSINAT
; Department of Clinical Medical Sciences, Faculty of Medicine, Yarmouk University, Yarmouk, Jordan
GIUSEPPE FERRARA
orcid.org/0009-0006-7985-857X
; Department of Anesthesia and Intensive Care Unit, University of Foggia, Foggia, Italy
ALAMEEN ALSABBAH
orcid.org/0000-0002-5845-3622
; Faculty of Medicine, Yarmouk University, Yarmouk, Jordan
ANTONELLA COTOIA
; Department of Anesthesia and Intensive Care Unit, University of Foggia, Foggia, Italy
RENATA BECK
orcid.org/0000-0001-8352-7219
; Department of Anesthesia and Intensive Care Unit, University of Foggia, Foggia, Italy
Abstract
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.
Keywords
activated charcoal; Amanita phalloides; amatoxins; mushrooms; poisoning; N-acetyl cysteine
Hrčak ID:
307184
URI
Publication date:
10.8.2023.
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