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酷似无痛性进行性黄疸的蘑菇中毒:1例报告并文献复习

Mushroom Poisoning Mimicking Painless Progressive Jaundice: A Case Report with Review of the Literature.

作者信息

Perisetti Abhilash, Raghavapuram Saikiran, Sheikh Abu Baker, Yendala Rachana, Rahman Rubayat, Shanshal Mohamed, Thein Kyaw Z, Farooq Asif

机构信息

Department of Hospital Medicine, Texas Tech University Health Sciences Center, Lubbock, USA.

Division of Gastroenterology, University of Arkansas for Medical Sciences, Little Rock, USA.

出版信息

Cureus. 2018 Apr 5;10(4):e2436. doi: 10.7759/cureus.2436.

DOI:10.7759/cureus.2436
PMID:29896444
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5995584/
Abstract

Mushroom poisoning is common in the United States. The severity of mushroom poisoning may vary, depending on the geographic location, the amount of toxin delivered, and the genetic characteristics of the mushroom. Though they could have varied presentation, early identification with careful history could be helpful in triage. We present a case of a 69-year-old female of false morel mushroom poisoning leading to hepatotoxicity with painless jaundice and biochemical pancreatitis.

摘要

蘑菇中毒在美国很常见。蘑菇中毒的严重程度可能各不相同,这取决于地理位置、摄入的毒素量以及蘑菇的遗传特性。尽管其表现可能多种多样,但通过仔细询问病史进行早期识别,有助于进行分诊。我们报告一例69岁女性因误食鹿花菌导致肝毒性,并伴有无痛性黄疸和生化性胰腺炎的病例。

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本文引用的文献

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Amanita poisoning and liver transplantation: do we have the right decision criteria?鹅膏菌中毒与肝移植:我们有正确的决策标准吗?
J Pediatr Gastroenterol Nutr. 2011 Oct;53(4):459-62. doi: 10.1097/MPG.0b013e318216f2c7.
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Successful liver transplantation after 21 days of hepatic coma.肝昏迷 21 天后成功进行肝移植。
ASAIO J. 2011 Nov-Dec;57(6):545-6. doi: 10.1097/MAT.0b013e318230632e.
3
Hepatotoxicity from ingestion of wild mushrooms of the genus Amanita section Phalloideae collected in Mexico City: two case reports.墨西哥城采集的鹅膏菌属 Phalloideae 野生蘑菇中毒性肝炎:两例报告。
Ann Hepatol. 2011 Oct-Dec;10(4):568-74.
4
Clinical features and outcome of patients with amatoxin-containing mushroom poisoning.含鹅膏蕈碱蘑菇中毒患者的临床特征和转归。
Clin Toxicol (Phila). 2011 Apr;49(4):303-10. doi: 10.3109/15563650.2011.565772.
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Mushroom toxins and cancer (review).蘑菇毒素与癌症(综述)
Int J Oncol. 1995 Jan;6(1):137-45.
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Amanita phalloides poisoning.鹅膏蕈碱中毒。
Clin Toxicol (Phila). 2011 Feb;49(2):128-9. doi: 10.3109/15563650.2011.557663.
7
2009 Annual Report of the American Association of Poison Control Centers' National Poison Data System (NPDS): 27th Annual Report.2009 年美国毒物控制中心协会国家毒物数据系统(NPDS)年度报告:第 27 次年度报告。
Clin Toxicol (Phila). 2010 Dec;48(10):979-1178. doi: 10.3109/15563650.2010.543906.
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Lepiota subincarnata J.E. Lange induced fulminant hepatic failure presenting with pancreatitis.肉红环柄菇(Lepiota subincarnata J.E. Lange)诱发暴发性肝衰竭并伴有胰腺炎。
J Med Toxicol. 2010 Jun;6(2):155-7. doi: 10.1007/s13181-010-0062-1.
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Liver transplantation for acute liver failure due to toxic agent ingestion in children.儿童因摄入有毒物质导致急性肝衰竭的肝移植
Pediatr Transplant. 2009 Dec;13(8):1034-40. doi: 10.1111/j.1399-3046.2008.01119.x. Epub 2009 Feb 6.