Abstract

Wild mushroom poisoning from the genus Amanita is a medical emergency, with Amanita phalloides being the most common offender. Patients may complain of nausea, vomiting, diarrhea and/or abdominal pain. If not aggressively treated, fulminant hepatic failure may develop within several days of ingestion. In this case report, a patient poisoned with Amanita bisporigera is described, along with the typical clinical presentation, patient outcomes, and treatment options for dealing with an Amanita mushroom poisoning.

Highlights

  • Wild mushroom poisoning cases leading to fatal liverinduced injury usually are attributed to Amanita phalloides ingestion in the United States

  • We report the case of a 53-year-old female who presented to the emergency room complaining of severe nausea and vomiting associated with abdominal cramps and intense diarrhea starting nine hours after ingesting wild mushrooms which she had picked herself

  • The patient reported that at 4 am she awoke with intense right upper quadrant (RUQ) abdominal pain, accompanied by severe nausea and innumerable amounts of emesis

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Summary

Introduction

Wild mushroom poisoning cases leading to fatal liverinduced injury usually are attributed to Amanita phalloides ingestion in the United States. An infrequently documented mushroom species Amanita bisporigera has been found to be just as deadly in producing acute fulminant liver failure. The following is a reported case of such an occurrence

Case Report
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