毒蘑菇
Malicious Mushrooms.
作者信息
Iskander Peter, Marzouk Diana, Iskander Anthony, Oza Fouzia
机构信息
The Wright Center for GME, Scranton, Pennsylvania.
Virginia Commonwealth University, Richmond, Virginia.
出版信息
Gastro Hep Adv. 2023 Jan 20;2(4):544-546. doi: 10.1016/j.gastha.2023.01.012. eCollection 2023.
Accidental ingestion of the toxic Death Cap mushroom, and others of the species, can occur due to their physical similarities with commonly edible fungi. Production of certain toxins which prevent protein synthesis can lead to fulminant organ failure and death. Although treatment is mostly supportive due to a lack of specific antidote, early recognition can aid in meaningful recovery. Nonspecific symptoms are generally present early in the course and, therefore, high index of suspicion is required. We present 2 cases of suspected poisoning leading to acute liver injury; one leading to resolvement of symptoms and the other being fatal.
意外摄入有毒的毒蝇伞及其他同属物种，可能是因为它们与常见可食用真菌在外形上相似。某些毒素会抑制蛋白质合成，从而导致暴发性器官衰竭和死亡。由于缺乏特效解毒剂，治疗大多以支持性治疗为主，但早期识别有助于实现有效的康复。非特异性症状通常在病程早期出现，因此需要高度怀疑。我们报告了2例疑似中毒导致急性肝损伤的病例；其中1例症状得到缓解，另1例死亡。
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