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[Mushroom poisoning by Cortinarius orellanus].
V Bednárová1, B Bodláková, D Pelclová
1Interní oddĕlení Strahov 1. LF UK a VFN, Praha.
Casopis Lekaru Ceskych
|June 22, 1999
Summary
Cortinarius orellanus mushroom poisoning can cause acute kidney failure due to the nephrotoxic orellanin toxin. Early diagnosis and extracorporeal toxin removal are crucial for preventing irreversible renal damage.
Area of Science:
- Toxicology
- Nephrology
- Mycology
Background:
- Cortinarius orellanus mushroom is rare and poorly understood.
- Orellanin is a potent nephrotoxin causing renal damage.
Observation:
- Three patients presented with acute renal failure after consuming Cortinarius orellanus.
- A notable latent period of 2-21 days preceded symptoms.
- Symptoms included gastrointestinal distress and back pain.
Findings:
- Diagnosis confirmed by mycological analysis or toxin detection via renal biopsy.
- Treatment focuses on extracorporeal toxin elimination (hemodialysis, hemoperfusion).
Implications:
- Delayed treatment increases the risk of irreversible kidney injury.
- Medical professionals should consider Cortinarius orellanus poisoning in acute renal failure differential diagnoses.