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《欺骗性蘑菇:意外中毒》

The Deceptive Mushroom: Accidental Poisoning.

作者信息

Rampolli Francesca Irene, Kamler Premila, Carnevale Carlino Claudio, Bedussi Francesca

机构信息

Department of Internal Medicine, Ospedale Regionale di Lugano, Switzerland.

Division of Clinical Pharmacology and Toxicology, Institute of Pharmacological Sciences of Southern Switzerland, Ospedale Regionale di Lugano, Switzerland.

出版信息

Eur J Case Rep Intern Med. 2021 Feb 2;8(3):002212. doi: 10.12890/2021_002212. eCollection 2021.

DOI:10.12890/2021_002212
PMID:33768066
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7977045/
Abstract

UNLABELLED

is considered to be one of the most remarkable and beautiful mushrooms. It has a red or orange cap covered with small white plaques and its distinctive appearance makes accidental and severe intoxication very rare. Its consumption is sometimes used as a means of suicide or it can be consumed for its psychedelic effects, and in some cases, it can be mistaken for edible species. In this paper, we will discuss a patient who fell into a coma after accidental poisoning. Rapid identification of the mushroom allowed the regression of symptoms and discharge from the hospital on the fourth day after consumption.

LEARNING POINTS

is one of the most remarkable mushrooms for its distinctive appearance, but sometimes it can be mistaken for edible species. is a highly poisonous mushroom; the primary effects usually involve the central nervous system, and in severe poisoning, symptoms may manifest with coma and in rare cases lead to death.The rapid and correct identification of this mushroom is important for optimal risk assessment and in order to prescribe the best therapy.

摘要

未标注

被认为是最显著且美丽的蘑菇之一。它有一个覆盖着小白斑块的红色或橙色菌盖,其独特外观使得意外和严重中毒非常罕见。它有时被用作自杀手段,或者因其致幻效果而被食用,在某些情况下,它可能被误认为是可食用物种。在本文中,我们将讨论一名意外中毒后陷入昏迷的患者。蘑菇的快速识别使症状消退,并在食用后第四天出院。

学习要点

因其独特外观是最显著的蘑菇之一,但有时可能被误认为是可食用物种。是一种剧毒蘑菇;主要影响通常涉及中枢神经系统,在严重中毒时,症状可能表现为昏迷,在罕见情况下会导致死亡。这种蘑菇的快速正确识别对于最佳风险评估和开具最佳治疗方案很重要。

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本文引用的文献

1
Coma in the course of severe poisoning after consumption of red fly agaric (Amanita muscaria).食用红毒蝇伞(毒蝇鹅膏菌)后严重中毒过程中出现昏迷。
Acta Biochim Pol. 2016;63(1):181-182. doi: 10.18388/abp.2015_1170. Epub 2016 Feb 1.
2
Amanita muscaria and Amanita pantherina poisoning: two syndromes.毒蝇伞和豹斑毒伞中毒:两种综合征。
Toxicon. 2014 Nov;90:269-72. doi: 10.1016/j.toxicon.2014.08.067. Epub 2014 Aug 27.
3
Prolonged psychosis after Amanita muscaria ingestion.误食毒蝇伞后出现的持续性精神病。
Wien Klin Wochenschr. 2006 May;118(9-10):294-7. doi: 10.1007/s00508-006-0581-6.
4
Fly agaric (Amanita muscaria) poisoning, case report and review.毒蝇伞中毒:病例报告及文献综述
Toxicon. 2005 Jun 1;45(7):941-3. doi: 10.1016/j.toxicon.2005.01.005. Epub 2005 Apr 14.
5
Amanita muscaria: chemistry, biology, toxicology, and ethnomycology.毒蝇伞:化学、生物学、毒理学与民族真菌学
Mycol Res. 2003 Feb;107(Pt 2):131-46. doi: 10.1017/s0953756203007305.