[Mushroom poisoning by brunneoincarnata: about two cases]

Area of Science:

• Toxicology
• Mycology
• Gastroenterology

Background:

• Amatoxin poisoning is a significant cause of mortality from mushroom ingestion in Europe.
• Amanita phalloides is the most commonly implicated species, often leading to fatal outcomes.
• Prognosis is critically dependent on managing acute dehydration and preventing liver failure.

Observation:

• This case involves a collective intoxication incident.
• The poisoning was caused by the ingestion of Lepiota brunneoincarnata mushrooms.
• Lepiota species can be mistaken for edible mushrooms, increasing the risk of accidental poisoning.

Findings:

• The collective intoxication by Lepiota brunneoincarnata resulted in severe health consequences.
• Prompt medical intervention, including potential liver transplantation, is crucial for survival.
• Accurate mushroom identification is vital to prevent misidentification with edible varieties.

Implications:

• This incident underscores the danger of amatoxin-containing mushrooms beyond Amanita phalloides.
• Public awareness and education on mushroom identification are critical to reduce poisoning incidents.
• Further research into the specific toxins and treatment protocols for Lepiota brunneoincarnata poisoning is warranted.