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致真菌中毒物:毒理学和预防概述。

A guide to mycetisms: A toxicological and preventive overview.

机构信息

Department of Health Sciences (DISSAL), University of Genoa, Via A. Pastore 1, 16132 Genova, Italy.

Department of Earth, Environmental and Life Sciences (DISTAV), University of Genoa, C.so Europa 26, 16132 Genova, Genova, Italy.

出版信息

Med Mycol. 2024 Mar 28;62(4). doi: 10.1093/mmy/myae033.

DOI:10.1093/mmy/myae033
PMID:38569657
Abstract

Fungi are often considered a delicacy and are primarily cultivated and harvested, although numerous species are responsible for intoxication due to toxin content. Foodborne diseases are a significant public health concern, causing approximately 420 000 deaths and 600 million morbidities yearly, of which mushroom poisoning is one of the leading causes. Epidemiological data on non-cultivated mushroom poisoning in individual countries are often unrepresentative, as intoxication rarely requires emergency intervention. On the other hand, the lack of specialist knowledge among medical personnel about the toxicological manifestations of mushroom consumption may result in ineffective therapeutic interventions. This work aims to provide an easy-to-consult and wide-ranging tool useful for better understanding the variability of mushroom intoxications, the associated symptoms, and the main treatments for the most severe cases, given the absence of a complete species mapping tool toxic. Moreover, we establish an effective collection network that describes the incidence of mushroom poisonings by reporting the species and associated toxicological manifestations for each case. In conclusion, we highlight the need to establish appropriate primary prevention interventions, such as training the affected population and increasing consultancy relationships between mycological experts and specialised healthcare personnel.

摘要

真菌通常被视为一种美味佳肴,主要是进行栽培和收获,尽管许多物种由于含有毒素而会导致中毒。食源性疾病是一个严重的公共卫生问题,每年导致约 42 万人死亡和 6 亿人患病,其中蘑菇中毒是主要原因之一。个别国家关于非栽培蘑菇中毒的流行病学数据往往不具有代表性,因为中毒很少需要紧急干预。另一方面,医务人员对蘑菇食用中毒的毒理学表现缺乏专业知识,可能导致治疗干预无效。这项工作旨在提供一个易于查阅和广泛的工具,用于更好地了解蘑菇中毒的变异性、相关症状以及最严重病例的主要治疗方法,因为目前缺乏一个完整的有毒物种图谱工具。此外,我们建立了一个有效的收集网络,通过报告每个病例的物种和相关的毒理学表现来描述蘑菇中毒的发生率。总之,我们强调需要建立适当的初级预防干预措施,例如培训受影响人群,并增加真菌学专家和专门医疗保健人员之间的咨询关系。

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