1/4. Poisoning by amanita phalloides ("deathcap") mushrooms in the Australian Capital Territory.amanita phalloides ("deathcap") mushrooms are widespread in south-eastern Australia. Seven patients presented to hospital in the australian capital territory with poisoning by this mushroom between 1988 and 1998. Three developed hepatoxicity and one died. Because A. phalloides is becoming more widespread, increased community and medical awareness is needed to reduce the frequency and morbidity of poisoning.- - - - - - - - - - ranking = 1keywords = unit (Clic here for more details about this article) |
2/4. Successful treatment of an adult with amanita phalloides-induced fulminant liver failure with molecular adsorbent recirculating system (mars).Despite significant advances in intensive care management of amanita phalloides-induced fulminant liver failure (FLF), patients with this condition still have a high mortality rate in the absence of orthotopic liver transplantation. Molecular Adsorbent Recirculating System (mars) is a new, cell-free, extracorporeal liver assistance method utilizing an albumin dialysate for the removal of albumin-bound toxins, and a highly effective depurative therapy in adults with wild mushroom-induced FLF. We report the case of a 39 year old woman with amanita phalloides-induced FLF, admitted to our intensive care unit (ICU) and treated with mars. Our patient had severe hepatic dysfunction: hepatic encephalopathy (grade II), ALT = 5022 (2475-10098) IU/L, bilirubin = 7.18 (4.8-10.1) mg/dL, prothrombin time (PT) = 90.4 (29.3-140.4) s. mars sessions had an immediate impact on liver tests: statistically significant decrease in ammonia, ALT and PT. hepatic encephalopathy was successfully reduced. The patient survived and the hepatic function completely recovered. mars appears to be a safe and highly effective depurative therapy in adults with amanita phalloides-induced FLF.- - - - - - - - - - ranking = 1keywords = unit (Clic here for more details about this article) |
3/4. Fulminant liver failure secondary to mushroom poisoning in children: importance of early referral to a liver transplantation unit.patients poisoned with toxic mushrooms have a spectrum of clinical presentations ranging from gastrointestinal symptoms to fulminant liver failure, and outcomes range from complete recovery to the need for liver transplantation. We reviewed the clinical presentation, course, outcome and management of four children poisoned with mushrooms who developed fulminant liver failure. Although one patient survived, two children died and one underwent living related liver transplantation. Early referral to specialized centers for treatment and for liver transplantation is emphasized.- - - - - - - - - - ranking = 4keywords = unit (Clic here for more details about this article) |
4/4. A botulism outbreak from roasted canned mushrooms.food-borne botulism is a rare disease that results from ingestion of the toxins produced by clostridium botulinum. The most common cause of the disease is the consumption of home-canned foods prepared under inappropriate conditions, especially in rural environments. In this report, a food-borne botulism outbreak potentially caused by roasted home-canned mushrooms is evaluated and the major reasons for delayed diagnosis are emphasized. The clinical features, symptoms and prognosis of the five botulism patients involved in this outbreak are presented. The clinical progressions, treatments, durations of mechanical ventilation, intensive care unit stays and hospital stays of the three patients admitted to Akdeniz University Hospital are reported.- - - - - - - - - - ranking = 1keywords = unit (Clic here for more details about this article) |