Magdalan Jan, Antończyk Andrzej
Oddzial Ostrych Zatruć, Dolnoślqskiego Szpitala Specjalistycznego im. T. Marciniaka we Wrocławiu.
Przegl Lek. 2007;64(4-5):341-3.
A case of a 72-year-old female who ingested panther cap (Amanita pantherina) was presented. During the ingestion of mushrooms she developed short-time diarrhea and severe transient neurological disorders; short-term hallucination followed by deep coma, skeletal muscle flaccidity with hyporeflexia. Also significant facial asymmetry was noted. A head CT showed a small ischaemic focus in capsula interna. After a neurological consult it was concluded that this small malformation was not the cause of severe patient's condition. The sporological test revealed numerous spores of panther cap in patient's vomit. After the next 6 hours complete resolution of neurological symptoms was observed. Finally it was assumed that patient's symptoms and signs were most probably a result of panther cap poisoning complicated with transient ischaemia of the brain.
报告了一例72岁女性误食豹斑毒伞（豹斑鹅膏菌）的病例。在食用蘑菇期间，她出现了短期腹泻和严重的短暂性神经功能障碍；先是短期幻觉，随后陷入深度昏迷，骨骼肌松弛且反射减弱。还发现有明显的面部不对称。头部CT显示内囊有一个小缺血灶。经神经科会诊后得出结论，这个小畸形并非患者病情严重的原因。孢子学检测在患者呕吐物中发现了大量豹斑毒伞的孢子。接下来的6小时后，神经症状完全消失。最终推测患者的症状和体征很可能是豹斑毒伞中毒并伴有短暂性脑缺血所致。
