Gastroenterology Department, National Medical Center, Hospital de Especialidades, CMN Siglo XXI, IMSS, Mexico City, Mexico.
Ann Hepatol. 2011 Oct-Dec;10(4):568-74.
We present two cases of acute liver injury resulting from consumption of wild mushrooms. The first case was a male who developed acute hepatitis after ingestion of diverse mushrooms including Amanita species. His clinical course was favorable with complete recovery of liver function. The second case was a male who developed acute liver failure (ALF) after ingestion of Amanita bisporigera. He required MARS therapy as a bridge to liver transplantation but transplantation was not performed because he succumbed to multiorgan failure. There are few trials demonstrating the efficacy of the different treatments for mushroom poisoning. These cases demonstrate that the consumption of wild mushrooms without proper knowledge of toxic species represents a serious and under recognized health problem.
我们报告两例因食用野生蘑菇引起的急性肝损伤。第一例为男性，因摄入包括鹅膏菌属在内的多种蘑菇而发生急性肝炎。其临床病程良好，肝功能完全恢复。第二例为男性，因摄入双色鹅膏菌而发生急性肝衰竭。他需要 MARS 治疗作为肝移植的桥接，但由于多器官衰竭而未进行移植。目前只有少数试验证明了不同蘑菇中毒治疗方法的疗效。这些病例表明，对有毒物种缺乏正确认识而食用野生蘑菇会导致严重且未被充分认识的健康问题。
