Zilker T
Leber Magen Darm. 1987 Apr;17(2):97-112.
The diagnosis of mushroom poisoning is based on three principles: the description of the mushroom, the toxicological analysis of the mushroom and, most important, the mushroom syndrome. Mushroom poisoning can be classified according to the lag time between the meal and the onset of symptoms. In this paper we will discuss mushroom poisoning with short and intermediate lag time. With short lag time and a predominance of CNS signs and symptoms the diagnosis is either fly-agaric, pantherina or psilocybin syndrome. Parasympathomimetic signs and symptoms indicate the muscarine syndrome. If--with a lag period of up to four hours--vomiting and diarrhea are predominant, we will find a poisoning with one of the many mushrooms which lead to gastroenteritis. Gastroenteritis combined with hemolysis points to a paxillus syndrome.
蘑菇的描述、蘑菇的毒理学分析，以及最重要的蘑菇中毒综合征。蘑菇中毒可根据进食与症状发作之间的延迟时间进行分类。在本文中，我们将讨论延迟时间短和中等的蘑菇中毒。延迟时间短且以中枢神经系统体征和症状为主时，诊断为毒蝇伞、豹斑毒伞或裸盖菇素综合征。拟副交感神经体征和症状表明为毒蕈碱综合征。如果在长达4小时的潜伏期内，呕吐和腹泻为主，则为多种导致肠胃炎的蘑菇之一引起的中毒。肠胃炎合并溶血提示杯伞属综合征。
