Madhok Manu, Scalzo Anthony J, Blume Carolyn M, Neuschwander-Tetri Brent A, Weber Julie A, Thompson Michael W
Missouri Regional Poison Center, Cardinal Glennon Children's Hospital, St Louis, MO, USA.
Pediatr Emerg Care. 2006 Mar;22(3):177-80. doi: 10.1097/01.pec.0000202459.49731.33.
Ingestion of wild mushrooms has led to unintentional poisonings caused by mistaken identity. We report 3 cases of exposure to Amanita bisporigera, demonstrating dose-related toxicity. The use of nasobiliary drainage as a novel approach to interrupting the enterohepatic circulation of amatoxins is illustrated. Pathophysiology and treatment of Amanita poisoning are reviewed.