Intensive hemodialysis and hemoperfusion treatment of Amanita mushroom poisoning

  title={Intensive hemodialysis and hemoperfusion treatment of Amanita mushroom poisoning},
  author={Abdulla I. Sabee and Jan Kurkus and Tore Lindholm},
Over a period of fifteen years, 41 patients including 23 males and 18 females with Amanita mushroom poisoning were treated at the University Hospital of Lund, Sweden. The intensity of poisoning was graded according to serum transaminase elevations and prothrombin time reductions. Severity was mild in 16 patients (Group A), moderate in 14 (Group B) and severe in 11 (Group C). Members of Group C reported shorter latency periods before the onset of symptoms, (10±1 hours,p<0.05) and longer delays… 

Clinical features and outcome of patients with amatoxin-containing mushroom poisoning

The factors associated with mortality determined in this retrospective study may be helpful for clinical outcome assessment and monitoring of patients with amatoxin-containing mushroom poisoning.

Mushroom poisoning in northwest of Iran

Mushroom poisoning should be considered in differential diagnosis of any case of acute gastroenteritis, especially during spring and fall when moderate temperature and moist conditions facilitate mushroom’s growth.

Amanita Phalloides Intoxication Misdiagnosed as Acute Appendicitis: A Case Report

Mushroom poisoning should be taken into account in evaluation of the patients suspected to have acute appendicitis if diagnosis of mushroom poisoning was made earlier by proper history taking and a high index of suspicion, the patient would receive the available treatment modalities earlier and her chance of survival would increase.

Three Controversial Issues in Extracorporeal Toxin Removal

This work presents three issues dealing with extracorporeal removal of toxins for which there is no definitive answer but which may arise in clinical practice and concludes that rapidity in toxin removal is beneficial.

Prevalence and Predictors of Herbal Medication Use in Veterans with Chronic Hepatitis C

The use of herbal preparations is prevalent among veterans with chronic hepatitis C, especially those with higher levels of education and higher incomes.

Amanita Bisporigera Ingestion: Mistaken Identity, Dose-Related Toxicity, and Improvement Despite Severe Hepatotoxicity

Ingestion of wild mushrooms has led to unintentional poisonings caused by mistaken identity and the use of nasobiliary drainage as a novel approach to interrupting the enterohepatic circulation of amatoxins is illustrated.

Статины в профилактике и лечении связанных с атеросклерозом заболеваний: эффективность и безопасность

Recommendations for statines prescription for primary and secondary prevention of cardiovascular diseases, including IHD and ischemic stroke, are significantly expanded.

Lipoic Acid as a Potential First Agent for Protection from Mycotoxins and Treatment of Mycotoxicosis

  • S. Rogers
  • Chemistry
    Archives of environmental health
  • 2003
The author examines the use of lipoic acid as an example of an inexpensive and available nutrient that has been shown to protect against, or reverse, the adverse health effects of mycotoxins.



Kinetics of amatoxins in human poisoning: therapeutic implications.

The rapid clearance of circulating amatoxins by day 4 spares the transplanted liver and indicates that enhanced elimination of amat oxins requires early treatment.

Clinical findings and follow-up evaluation of an outbreak of mushroom poisoning — survey of amanita phalloides poisoning

The results indicate that Amanita Phalloides poisoning represents a threat not only in the high mortality acute phase, but also in the development of chronic active hepatitis in some survivors.

Amatoxin poisoning in northern California, 1982-1983.

Twenty-two patients who ate mushrooms containing hepatotoxic amatoxins were treated during the fall and winter seasons of 1982 and 1983 and this series illustrates the outcome in patients who receive intensive supportive care and provides a background on which success of specific treatments should be judged.

Amanita poisoning: treatment and the role of liver transplantation.

Plasma Exchange for Mushroom Poisoning

MANY DEATHS from mushroom poisoning, caused in the majority of cases by Amanita phalloides and Amanita verna. are reported every year. The toxic substance is a-amanitin that displays a cytotoxic

Treatment of Human Amatoxin Mushroom Poisoning

The aim of this article is to steer a course between the distressing and unjustified resignation and the reports of some case histories, where survival is surmised but not proven to be related to the variety of treatment employed.

Amanita phalloides poisoning treated by early charcoal haemoperfusion.

Charcoal haemoperfusion is used as early as possible after the ingestion of A phalloides to try to fix the toxins before they caused hepatic or renal damage.

Diagnosis and treatment of Amanita phalloides-type mushroom poisoning: use of thioctic acid.

A rapid chromatographic assay for identifying the potent cytotoxins and apparently successful management using thioctic acid of two cases of A. phalloides-type mushroom poisoning treated with thioctica acid in the United States are reported.

Amanita phalloides mushroom poisoning: a cluster of four fatalities.

A group of four illegal aliens had been without food for several days when they found a group of wild mushrooms growing in a field in Southern California and consumed a meal of one to six fried mushrooms, and all four men developed abdominal pain, nausea, diarrhea, and intractable vomiting.

Hepatotoxic mushroom poisoning: diagnosis and management

The physio-pathological features and the clinical picture of amatoxin poisonings are described, as the basis for diagnosis and therapeutic decisions, and the treatment schedule proposed is analyzed.