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蘑菇摄入所致急性肝损伤:蘑菇中毒的及时干预

Acute Liver Injury From Mushroom Ingestion: A Timely Intervention in Mushroom Poisoning.

作者信息

Ur Rahman Hameed, Yasir Shah Syed, Ali Muhammad Asfandiyar, Khan Abu Baker

机构信息

Internal Medicine, Ayub Teaching Hospital, Abbottabad, PAK.

Internal Medicine, Khyber Teaching Hospital, Peshawar, PAK.

出版信息

Cureus. 2023 Sep 23;15(9):e45818. doi: 10.7759/cureus.45818. eCollection 2023 Sep.

Abstract

Mushroom poisoning, known as mycetism, represents a pressing health concern worldwide. Although the majority of mushroom ingestions are benign, select species like "Amanita phalloides" can induce catastrophic liver damage, culminating in acute liver failure. In this report, we detail a case involving a 35-year-old female who presented to the emergency department exhibiting symptoms of nausea, vomiting, abdominal pain, and palpitations merely six hours post-ingestion of "Amanita phalloides." Accurate identification of the specific mushroom species consumed proves challenging in over 90% of poisoning incidents, underscoring the necessity for clinical vigilance. While many mushroom exposures lead to mild gastrointestinal symptoms, recognizing the potential for severe outcomes is paramount for timely and effective intervention.

摘要

蘑菇中毒,即毒蕈中毒,是全球范围内一个紧迫的健康问题。尽管大多数蘑菇摄入情况是良性的,但像“毒鹅膏”这样的特定物种可导致灾难性的肝损伤,最终引发急性肝衰竭。在本报告中,我们详细描述了一例病例,一名35岁女性在摄入“毒鹅膏”仅6小时后就出现恶心、呕吐、腹痛和心悸症状并前往急诊科就诊。在超过90%的中毒事件中,准确识别所食用的具体蘑菇种类具有挑战性,这凸显了临床警惕的必要性。虽然许多蘑菇接触会导致轻微的胃肠道症状,但认识到严重后果的可能性对于及时有效的干预至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f63/11065392/7a40a7a25102/cureus-0015-00000045818-i01.jpg

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