Flammer R, Gallen S
Schweiz Med Wochenschr. 1983 Oct 22;113(42):1555-61.
Primary hemolysis induced by antigens and toxins of mushrooms must be distinguished from hemolysis secondary to shock and disseminated intravascular coagulation with disruption of erythrocytes caused by severe poisoning with many mushroom species. Primary hemolysis is well documented as immunohemolysis after repeated ingestion of involute paxillus (Paxillus involutus). Direct hemolysis is reported after eating raw mushrooms with a high content of hemolysins. Hemolysis is only speculative in monomethylhydrazine poisoning by false morels (Gyromitra esculenta). Secondary hemolysis due to shock is not uncommon. Hemolysis in connection with enzymopenia of erythrocytes has not been documented as yet. In the present study the various hemolytic syndromes are described and discussed.
蘑菇抗原和毒素引起的原发性溶血必须与继发于休克和弥散性血管内凝血的溶血相区分，后者是由多种蘑菇严重中毒导致红细胞破坏引起的。原发性溶血在反复摄入内卷桩菇（卷边桩菇）后被充分记录为免疫溶血。食用含有高含量溶血素的生蘑菇后会出现直接溶血。在假羊肚菌（鹿花菌）单甲基肼中毒时，溶血只是一种推测。因休克导致的继发性溶血并不罕见。与红细胞酶缺乏相关的溶血尚未得到记录。在本研究中，对各种溶血性综合征进行了描述和讨论。
