Chlorophyllum molybdites--severe mushroom poisoning in a child
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Updated: Aug 15, 2026

Determination of Tolerable Fatty Acids and Cholera Toxin Concentrations Using Human Intestinal Epithelial Cells and BALB/c Mouse Macrophages
Published on: May 30, 2013
P H Stenklyft1, W L Augenstein
1Department of Emergency Medicine, University of Florida Health Science Center, Jacksonville.
Abstract:
The case of a 6-year-old female who developed hypovolemic shock from mushroom poisoning is discussed. The mushroom ingested, Chlorophyllum molybdites, is considered to be a benign gastrointestinal irritant. This case emphasizes that the gastrointestinal irritant mushrooms can produce severe toxicity and that pediatric patients have a limited capacity for fluid loss before becoming hypovolemic.
Insights
A child experienced severe hypovolemic shock after eating a mushroom, Chlorophyllum molybdites, typically seen as a mild irritant. This highlights the potential for severe toxicity in children from seemingly benign mushroom ingestions.
Area of Science:
- Toxicology
- Pediatric Medicine
- Mycology
Background:
- Mushroom poisoning is a significant concern, especially in pediatric populations.
- Chlorophyllum molybdites is commonly mistaken for edible species and often considered a gastrointestinal irritant.
- Assessing the true toxicity of ingested mushrooms requires careful clinical evaluation.
Observation:
- A 6-year-old female presented with hypovolemic shock following ingestion of Chlorophyllum molybdites.
- The patient exhibited severe symptoms despite the mushroom's general classification.
- Pediatric patients are particularly vulnerable to fluid volume depletion.
Findings:
- The case demonstrates that gastrointestinal irritant mushrooms can cause severe systemic toxicity.
- Hypovolemic shock can develop rapidly in children due to limited fluid reserve capacity.
- Accurate identification and assessment of mushroom toxicity are crucial for timely intervention.
Implications:
- Clinicians should maintain a high index of suspicion for severe toxicity in pediatric mushroom ingestions, even with commonly identified 'irritant' species.
- Prompt fluid resuscitation and monitoring are critical in managing pediatric hypovolemia secondary to mushroom poisoning.
- Further research into the specific toxic compounds and mechanisms of Chlorophyllum molybdites is warranted.
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