Local mushroom poisoning: a case report study.

IF 0.4 Q3 MEDICINE, GENERAL & INTERNAL

Oxford Medical Case Reports Pub Date : 2025-09-15 eCollection Date: 2025-09-01 DOI:10.1093/omcr/omaf121

Mahsa Rizebandi, Faezeh Sehtpour, Farhad Mohammadi

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Abstract

Introduction: Poisoning by poisonous local mushrooms that resemble edible mushrooms is a serious health hazard with severe consequences. Wild and unidentified mushrooms are the main cause of these poisonings. Successful treatment requires prompt medical intervention, and if delayed, a liver transplant may be necessary.

Case report: A 26-year-old woman with postpartum cardiomyopathy was admitted to Razi Hospital with abdominal pain, dizziness, nausea, and vomiting. She was diagnosed with poisoning from local mountain mushrooms and transferred to the ICU due to low blood pressure, elevated enzymes, and tachycardia. Echocardiography showed severe cardiac dysfunction (EF = 25%), and she developed severe tachycardia, decreased consciousness, and metabolic-respiratory acidosis. After dialysis and treatment with NAC infusion for 7 days, her consciousness improved, she was extubated, and EF increased to 40%.

Conclusion: The patient gradually improved after 6 days in ICU, with pancreatitis resolving and bilateral lower extremity paresthesia diagnosed and subsequently improved.

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当地蘑菇中毒1例报告研究。

简介：被类似食用蘑菇的有毒本地蘑菇中毒是一种严重的健康危害，后果严重。野生和未知的蘑菇是这些中毒的主要原因。成功的治疗需要及时的医疗干预，如果延误，可能需要肝移植。病例报告：一名26岁的产后心肌病妇女因腹痛、头晕、恶心和呕吐被送入Razi医院。她被诊断为当地山菇中毒，并因低血压、酶升高和心动过速被转移到重症监护室。超声心动图显示严重的心功能障碍（EF = 25%），患者出现严重的心动过速、意识下降和代谢性呼吸性酸中毒。透析及NAC输注治疗7天后，患者意识改善，拔管，EF升高至40%。结论：患者在ICU住院6天后病情逐渐好转，胰腺炎消退，双侧下肢感觉异常，随后病情好转。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Oxford Medical Case Reports MEDICINE, GENERAL & INTERNAL-

CiteScore

0.90

自引率

0.00%

发文量

125

审稿时长

19 weeks

期刊介绍： Oxford Medical Case Reports (OMCR) is an open access, peer-reviewed online journal publishing original and educationally valuable case reports that expand the field of medicine. The journal covers all medical specialities including cardiology, rheumatology, nephrology, oncology, neurology, and reproduction, comprising a comprehensive resource for physicians in all fields and at all stages of training. Oxford Medical Case Reports deposits all articles in PubMed Central (PMC). Physicians and researchers can find your work through PubMed , helping you reach the widest possible audience. The journal is also indexed in the Web of Science Core Collection . Oxford Medical Case Reports publishes case reports under the following categories: Allergy Audiovestibular medicine Cardiology and cardiovascular systems Critical care medicine Dermatology Emergency medicine Endocrinology and metabolism Gastroenterology and hepatology Geriatrics and gerontology Haematology Immunology Infectious diseases and tropical medicine Medical disorders in pregnancy Medical ophthalmology Nephrology Neurology Oncology Paediatrics Pain Palliative medicine Pharmacology and pharmacy Psychiatry Radiology, nuclear medicine, and medical imaging Respiratory disorders Rheumatology Sexual and reproductive health Sports Medicine Substance abuse.