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野生/林地蘑菇中毒:布加勒斯特急诊医院的经验——对2023 - 2024年急诊科就诊情况的回顾性研究

Wild/Woodland Mushroom Poisoning: The Experience of Bucharest Emergency Hospital-Retrospective Study of ER 2023-2024 Presentations.

作者信息

Oprita Bogdan, Neacsu Mihai Ciprian, Dinu Bogdan Alexandru, Olaru Ionut, Oprita Ruxandra

机构信息

Emergency Department, Clinical Emergency Hospital of Bucharest, 105402 Bucharest, Romania.

Faculty of Medicine, University of Medicine and Pharmacy "Carol Davila", 050474 Bucharest, Romania.

出版信息

J Fungi (Basel). 2025 Aug 3;11(8):578. doi: 10.3390/jof11080578.

DOI:10.3390/jof11080578
PMID:40863529
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12387414/
Abstract

The global trend of increasing mushroom consumption, combined with traditional practices in Romania and other Eastern European countries of collecting and consuming "wild mushrooms", may contribute to the rising incidence of emergency presentations due to inedible mushroom poisoning. This study aims to identify the clinical features of mushroom poisoning by retrospectively analyzing 47 cases presented to the Emergency Department of the Bucharest Emergency Hospital between 2023 and 2024. The methodology consists of a retrospective cohort study including all patients presented to the Emergency Department of the Bucharest Emergency Hospital with symptoms following mushroom ingestion between 2023 and 2024 totaling 47 cases. Conclusions: In this cohort, most cases of wild/forest mushroom poisoning (76.59%) were diagnosed during autumn, particularly in September and October. The distribution of cases was uniform with respect to both gender and urban versus rural residence. A significant proportion of patients (74.46%) required hospitalization for surveillance and/or specific treatment. The predominant clinical presentation consisted of gastrointestinal symptoms, observed in 97.87% of cases.

摘要

全球蘑菇消费增加的趋势,再加上罗马尼亚和其他东欧国家采集和食用“野生蘑菇”的传统做法,可能导致因误食毒蘑菇而急诊就诊的发病率上升。本研究旨在通过回顾性分析2023年至2024年期间在布加勒斯特急救医院急诊科就诊的47例病例,确定蘑菇中毒的临床特征。该方法包括一项回顾性队列研究,纳入了2023年至2024年期间因食用蘑菇后出现症状而到布加勒斯特急救医院急诊科就诊的所有患者,共计47例。结论:在该队列中,大多数野生/森林蘑菇中毒病例(76.59%)在秋季被诊断出来,尤其是在9月和10月。病例在性别和城乡居住方面的分布是均匀的。相当一部分患者(74.46%)需要住院进行监测和/或接受特定治疗。主要的临床表现为胃肠道症状,97.87%的病例出现该症状。

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本文引用的文献

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Increasing incidence of mycotoxicosis in South-Eastern Germany: a comprehensive analysis of mushroom poisonings at a University Medical Center.德国东南部霉菌毒素中毒发病率上升:某大学医学中心蘑菇中毒情况的综合分析
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