Povzun S A, Shilov V V, Grin' E N
Sud Med Ekspert. 2011 Nov-Dec;54(6):23-6.
We have analysed morphological manifestations in five cases of lethal poisoning with the Death Cap toxin and compared the relevant clinical and laboratory findings with those in 15 survived subjects. It was shown based on the results of autopsy that poisoning was associated with hepatopathy, extensive hepatic necrosis, and nephropathy. Elevated blood bilirubin levels in conjunction with lowered prothrombin and fibrin concentrations appear to be the main causative factors responsible for the unfavourable prognosis of this intoxication.
我们分析了5例因毒鹅膏毒素致死性中毒的形态学表现,并将相关临床和实验室检查结果与15例存活患者的结果进行了比较。尸检结果显示,中毒与肝病、广泛性肝坏死和肾病有关。血胆红素水平升高,同时凝血酶原和纤维蛋白浓度降低,似乎是导致这种中毒预后不良的主要因素。