Ribeiro Elisabete, Silva Sara, Batista Marta, Santos Maria Luis, Gonçalves Ana
Internal Medicine, Hospital Senhora Oliveira, Guimarães, PRT.
Cureus. 2024 Oct 24;16(10):e72325. doi: 10.7759/cureus.72325. eCollection 2024 Oct.
The consumption of wild mushrooms can be associated with poisoning, particularly with species containing hepatotoxic toxins such as amatoxin, present in more than 35 species. We present a case of Amanita-induced hepatitis in a 73-year-old man after ingestion of wild mushrooms. He presented to the emergency department (ED) with severe diarrhea, intense abdominal pain, and vomiting, with onset approximately six hours after ingestion of wild mushrooms. He developed acute liver injury but never developed hepatic encephalopathy. His clinical course was favorable, with complete recovery of liver function. The diagnosis of Amanita-induced toxic hepatitis is based on clinical observations. Early diagnosis and treatment are fundamental factors in the prognosis of these patients.
食用野生蘑菇可能会导致中毒，尤其是食用含有如鹅膏毒素等肝毒性毒素的蘑菇品种，这类毒素存在于超过35种蘑菇中。我们报告一例73岁男性在食用野生蘑菇后发生鹅膏菌所致肝炎的病例。他因严重腹泻、剧烈腹痛和呕吐被送往急诊科，症状在食用野生蘑菇后约6小时出现。他出现了急性肝损伤，但未发生肝性脑病。他的临床病程良好，肝功能完全恢复。鹅膏菌所致中毒性肝炎的诊断基于临床观察。早期诊断和治疗是这些患者预后的基本因素。
