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[Severe vomiting, diarrhea].

M Richter1, R Simmen

  • 1Medizinische Klinik, Stadtspital Triemli, Zürich.

Schweizerische Rundschau Fur Medizin Praxis = Revue Suisse De Medecine Praxis
|September 4, 1990
PubMed
Summary
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A 31-year-old female survived an Amanita phalloides mushroom poisoning after prompt treatment including stomach irrigation and medication. Early intervention led to a benign outcome with a short hospital stay.

Area of Science:

  • Toxicology
  • Emergency Medicine
  • Pharmacology

Background:

  • Amanita phalloides mushroom ingestion can cause severe gastrointestinal distress and liver damage.
  • Suicidal attempts involving mushroom consumption necessitate rapid medical intervention.

Observation:

  • A 31-year-old female presented with severe vomiting and watery diarrhea after consuming two Amanita phalloides mushrooms.
  • The patient was admitted to the emergency ward for immediate medical care.

Findings:

  • Treatment included stomach irrigation, fluid and electrolyte replacement, penicillin, and Silibinin.
  • Low urinary toxin concentration and stable Quick values indicated a favorable prognosis.
  • The patient experienced a benign clinical course.

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Implications:

  • Prompt and comprehensive treatment can effectively manage Amanita phalloides poisoning.
  • Early diagnosis and therapeutic interventions are crucial for preventing severe complications.
  • This case highlights the importance of immediate emergency care for mushroom ingestions.