Mushroom poisoning: a retrospective study concerning 11-years of admissions in a Swiss Emergency Department.

Details

Serval ID
serval:BIB_8ACA4586743E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Mushroom poisoning: a retrospective study concerning 11-years of admissions in a Swiss Emergency Department.
Journal
Internal and emergency medicine
Author(s)
Schmutz M., Carron P.N., Yersin B., Trueb L.
ISSN
1970-9366 (Electronic)
ISSN-L
1828-0447
Publication state
Published
Issued date
01/2018
Peer-reviewed
Oui
Volume
13
Number
1
Pages
59-67
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Wild mushroom intoxication is an unusual cause of toxic ingestion in Europe. A great diversity of clinical symptoms may arise depending on the variety of wild mushrooms ingested. These initial symptoms are often non-specific, with frequent gastrointestinal symptoms, and have no direct correlation with the outcome. Therefore, management of mushroom poisoning and risk evaluation are a challenge for emergency clinicians. We retrospectively reviewed all cases of mushroom poisoning identified in the ED database spanning 11 years. Demographic and clinical data, time from consumption to symptoms, type of mushrooms, the number of patients presenting at the same time, treatment(s) provided, length of stay, discharge diagnosis, in-hospital mortality, and serious complications were evaluated. We identify 87 cases of mushroom poisoning. The most common symptoms are nausea and vomiting (71 cases, 82%), followed by diarrhea (68%), syncope (10%), abdominal pain (8%), and hallucinations (7%). Sixty-four patients (74%) exhibited early symptoms (appearance <6 h after ingestion) and 23 (26%) late symptoms (appearance >6 h after ingestion). Eleven patients (13%) required hospitalization over 24 h. Patients with late symptoms tended to have longer in-hospital lengths of stay. Only one patient had Amanita phalloides intoxication, with a favorable outcome. Thirty-eight patients (44%) were involved in cluster presentations. Mushroom poisoning is an unusual but potentially severe form of intoxication. Patients presenting with late-appearing symptoms (>6 h) are associated with a higher risk of A. phalloides intoxication, and therefore require specific investigation and management.
Keywords
Abdominal Pain/etiology, Adolescent, Adult, Agaricales/pathogenicity, Aged, Aged, 80 and over, Child, Eating, Emergency Service, Hospital/organization & administration, Emergency Service, Hospital/statistics & numerical data, Female, Humans, Male, Middle Aged, Mushroom Poisoning/epidemiology, Mushroom Poisoning/therapy, Retrospective Studies, Risk Assessment/methods, Switzerland/epidemiology, Vomiting/etiology, Amanita, Emergency medicine, Mushroom poisoning
Pubmed
Web of science
Create date
13/02/2017 14:26
Last modification date
20/08/2019 14:49
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