[Liver transplantation in Amanita phalloides poisoning--authors' experience]

So far 5 cases of severe acute liver failure in the course of Amanita phalloides poisoning, treated in Department of Toxicology in Poznań were regarded for need of liver transplantation. In September 2001, 4 patients were directed to transplantology center: 3 adult persons were treated in Department of General Surgery and Liver Diseases, Medical University of Warsaw, and one 15-year-old boy in Department of Pediatric Surgery and Organ Transplantation, Children's Memorial Health Institute in Warsaw. According to King's College Hospital criteria a family of three qualified for liver transplantation. 40-year-old mother died during transplantation, 41-year old father and his 15-year old son underwent operation successfully. Two years after liver transplantation these two men were admitted to Department of Toxicology in Poznań for their clinical status assessment. Based on observations made in Department of Toxicology we conclude the management of patients who meet the clinical indicators of poor prognosis should be discussed with a transplantology center in the early stage of severe acute liver failure.