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维多利亚州因食用真菌导致的中毒事件。

Poisoning due to eating fungi in Victoria.

作者信息

Hender E, May T, Beulke S

机构信息

Victorian Poisons Information Centre, Royal Children's Hospital.

出版信息

Aust Fam Physician. 2000 Oct;29(10):1000-4.

Abstract

OBJECTIVES

To determine the range of fungi eaten in Victoria and the incidence and severity of associated illness.

METHOD

From May 1997 to April 1999, 174 callers to the Victorian Poisons Information Centre who had eaten fungi posted samples for identification and 170 completed a questionnaire. The study was suspended for three months from 1 November 1997 to 10 January 1998 and for four months from 1 July 1998 to 30 October 1998.

RESULTS

Species categorised as: 'poisonous', 'possibly poisonous', 'hallucinogenic', 'possibly hallucinogenic' and 'coprine containing' or 'possibly coprine containing' were identified in 87/174 (50%) samples. Accidental ingestions: 55 types of fungus were identified in the 126 ingestions; Coprinus species were the most common (24/126 [19%]). Illness 'likely' or 'possibly' due to the fungi was reported in 13/126 (10%) of these ingestions. Deliberate ingestions: The fungi were eaten for food in 46/47 of these cases; 41 of these (89%) were Agaricus xanthodermus or other Agaricus species. Illness 'likely' or 'possibly' due to the fungi was reported in 40/47 (85%) deliberate ingestions. In one case the reason for ingestion was unknown.

CONCLUSIONS

A large range of fungi was eaten in the accidental ingestions; the incidence of illness was low. A small range of fungi was eaten deliberately. The predominant species was Agaricus xanthodermus, which was probably confused with other edible Agaricus species. The incidence of associated gastrointestinal irritation was high; it was of limited duration and mild severity.

摘要

目的

确定维多利亚州食用真菌的种类范围以及相关疾病的发病率和严重程度。

方法

1997年5月至1999年4月,174名致电维多利亚州中毒信息中心称食用过真菌的人提交了样本用于鉴定,170人完成了问卷调查。该研究于1997年11月1日至1998年1月10日暂停了三个月,于1998年7月1日至1998年10月30日暂停了四个月。

结果

在87/174(50%)的样本中鉴定出了归类为“有毒”“可能有毒”“致幻”“可能致幻”以及“含鬼伞素”或“可能含鬼伞素”的真菌种类。意外摄入:在126次摄入事件中鉴定出了55种真菌;鬼伞属真菌最为常见(24/126 [19%])。在这些摄入事件中,13/126(10%)报告了“可能”或“很可能”由真菌导致的疾病。故意摄入:在这些案例中,46/47的真菌是作为食物食用的;其中41例(89%)是黄斑蘑菇或其他蘑菇种类。在40/47(85%)的故意摄入案例中报告了“可能”或“很可能”由真菌导致的疾病。有1例摄入原因不明。

结论

意外摄入的真菌种类繁多;疾病发病率较低。故意食用的真菌种类较少。主要种类是黄斑蘑菇,它可能与其他可食用的蘑菇种类混淆了。相关胃肠道刺激的发病率较高;持续时间有限且严重程度较轻。

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