Chew Keng Sheng, Mohidin Mohd Amin, Ahmad Mohd Zikri, Tuan Kamauzaman Tuan Hairul Nizam, Mohamad Nasir
Emergency Medicine Department, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
Int J Emerg Med. 2008 Sep;1(3):205-8. doi: 10.1007/s12245-008-0054-y. Epub 2008 Sep 4.
Despite being a favorite delicacy, only 200-300 of the 5,000 known mushroom species have been clearly established to be safe for consumption. Cases of mushroom poisoning have been reported with diverse clinical syndromes. A syndromic classification of mushroom poisoning has recently been developed to facilitate early interventions. We present a series of five cases of mushroom poisoning with muscarinic manifestations to highlight the difficulties we faced with exact species and toxin identification and the importance of this syndromic classification. The common symptoms in our case series are blurred vision, diarrhea, vomiting, and abdominal cramps.
尽管蘑菇是一种备受喜爱的美味佳肴,但在已知的5000种蘑菇物种中,只有200 - 300种已被明确确定食用安全。已有蘑菇中毒病例的报道,其临床综合征多种多样。最近开发了一种蘑菇中毒的综合征分类法,以促进早期干预。我们报告了一系列五例有蕈毒碱表现的蘑菇中毒病例,以突出我们在准确鉴定物种和毒素方面所面临的困难以及这种综合征分类法的重要性。我们病例系列中的常见症状为视力模糊、腹泻、呕吐和腹部绞痛。