Vanden Hoek T L, Erickson T, Hryhorczuk D, Narasimhan K
Section of Clinical Toxicology Cook County Hospital and Medical Center, Chicago, Illinois.
Ann Emerg Med. 1991 May;20(5):559-61. doi: 10.1016/s0196-0644(05)81617-8.
The cases of seven adults who ingested jack o'lantern mushrooms are presented. All patients experienced nausea and vomiting associated with abdominal cramping, and three reported diarrhea. Four of the seven complained of weakness and dizziness. Two were diaphoretic on physical examination. All seven were given IV fluids and oral activated charcoal in a local emergency department and admitted overnight for observation. Laboratory studies showed three of the seven patients to have mildly elevated liver function tests. One patient had hypokalemia requiring potassium supplementation. All were discharged the following day with normal follow-up examinations and laboratory studies. We recommend that all patients presenting with jack o'lantern mushroom poisoning be observed and rehydrated and have baseline liver function tests and potassium levels obtained.
本文报告了7例摄入南瓜灯蘑菇的成人病例。所有患者均出现恶心、呕吐并伴有腹部绞痛，3例报告有腹泻。7例中有4例诉说乏力和头晕。2例体格检查时出汗。所有7例患者均在当地急诊科接受了静脉输液和口服活性炭治疗，并留院观察过夜。实验室检查显示，7例患者中有3例肝功能检查轻度升高。1例患者有低钾血症，需要补充钾。所有患者次日均出院，随访检查和实验室研究结果均正常。我们建议，所有出现南瓜灯蘑菇中毒的患者均应接受观察、补液，并进行肝功能和血钾水平的基线检查。
