Lin Shide, Mu Maoyuan, Yang Fangwan, Yang Chunfei
Department of Infectious Diseases, First Affiliated Hospital of Zunyi Medical College, Zunyi, China (Dr Lin, Ms. Mu, and Mr F Yang).
Department of Infectious Diseases, First Affiliated Hospital of Zunyi Medical College, Zunyi, China (Dr Lin, Ms. Mu, and Mr F Yang).
Wilderness Environ Med. 2015 Sep;26(3):380-3. doi: 10.1016/j.wem.2015.03.027. Epub 2015 Jul 27.
Wild mushroom poisoning is often reported to cause acute liver or renal failure. However, acute rhabdomyolysis caused by wild mushroom poisoning has rarely been reported. We describe 7 patients of 1 family with Russula subnigricans Hongo poisoning. Their clinical manifestations varied from gastrointestinal symptoms to rhabdomyolysis, with 1 fatality. Our report provides supporting evidence that rhabdomyolysis may result from ingestion of R subnigricans mushrooms. A key to survival for patients with rhabdomyolysis caused by R subnigricans poisoning may be early recognition and intensive supportive care.
野生蘑菇中毒常被报道可导致急性肝衰竭或肾衰竭。然而，由野生蘑菇中毒引起的急性横纹肌溶解症鲜有报道。我们描述了1例家族性7名患者因食用亚黑红菇中毒的情况。他们的临床表现从胃肠道症状到横纹肌溶解症各不相同，其中1例死亡。我们的报告提供了支持性证据，表明横纹肌溶解症可能是由于摄入亚黑红菇所致。对于亚黑红菇中毒引起横纹肌溶解症的患者，生存的关键可能是早期识别和强化支持治疗。
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