肉红环柄菇（Lepiota subincarnata J.E. Lange）诱发暴发性肝衰竭并伴有胰腺炎。
Lepiota subincarnata J.E. Lange induced fulminant hepatic failure presenting with pancreatitis.
作者信息
Mottram Allan R, Lazio Matthew P, Bryant Sean M
机构信息
Department of Emergency Medicine, Division of Toxicology, Cook County-Stroger Hospital, Chicago IL, 60612, USA.
出版信息
J Med Toxicol. 2010 Jun;6(2):155-7. doi: 10.1007/s13181-010-0062-1.
Abstract
A 43-year-old woman with a medical history significant only for hepatitis B carrier status presented to an emergency department with generalized weakness, dizziness, nausea, and diarrhea 36 h after eating an estimated 170 g of sautéed Lepiota subincarnata J.E. Lange (basionym Lepiota josserandii). Laboratory evaluation revealed profound metabolic acidosis with mild transaminitis, mild coagulopathy, and renal insufficiency. Marked biochemical evidence of pancreatitis was present prior to significant hepatotoxicity. The patient ultimately required liver transplantation on hospital day 7 and was discharged home on hospital day 12.
摘要
一名43岁女性，仅有乙肝携带者病史，在食用约170克炒肉褐鳞小伞（学名Lepiota subincarnata J.E. Lange，基原异名Lepiota josserandii）36小时后，因全身乏力、头晕、恶心和腹泻就诊于急诊科。实验室检查显示严重代谢性酸中毒，伴有轻度转氨酶升高、轻度凝血功能障碍和肾功能不全。在出现明显肝毒性之前，已有显著的胰腺炎生化证据。患者最终在住院第7天接受了肝移植，并于住院第12天出院回家。
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