Selcuk University, Meram Faculty of Medicine, Cardiology Department, Konya, Turkey.
Toxicon. 2010 Feb-Mar;55(2-3):630-2. doi: 10.1016/j.toxicon.2009.10.022. Epub 2009 Oct 21.
Amanita phalloides is responsible for the majority of the fatalities caused by mushroom poisoning. It causes damage in liver, kidneys and rarely pancreas, causing encephalopathic coma, disseminated intravascular coagulation, hemorrhage and hypovolemic shock. However, its effect on cardiac functions has not been established yet. In this case report, we aimed to present a female patient poisoned by A. phalloides mushroom complicated with multi-organ failure and cardiogenic shock due to advanced left ventricular systolic dysfunction. This case report was the first to show a successful treatment of cardiogenic shock due to mushroom poisoning with intra-aortic balloon counterpulsation, whereas she did not respond to other therapies.
鹅膏蕈碱是引起蘑菇中毒致死的主要原因。它可导致肝、肾损伤，罕见情况下还会导致胰腺损伤，引起脑病性昏迷、弥散性血管内凝血、出血和低血容量性休克。然而，其对心脏功能的影响尚未确定。在本病例报告中，我们旨在报告一例因鹅膏蕈碱蘑菇中毒导致多器官衰竭和心源性休克的女性患者，其左心室收缩功能障碍严重。该病例报告首次表明，主动脉内球囊反搏可成功治疗因蘑菇中毒引起的心源性休克，而其他治疗方法对此无效。
