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[Occurrence of severe cardiac alterations in Amanita proxima poisoning: two original observations]

A Besancon1, C Schmitt, M Glaizal

  • 1Service de réanimation polyvalente, centre hospitalier intercommunal, 83608 Fréjus-Saint-Raphaël, France.

Annales Francaises D'Anesthesie Et De Reanimation
|April 3, 2012
PubMed

Insights

Amanita proxima mushroom poisoning, known as proximien syndrome, can cause severe cardiac issues. Early cardiac evaluation is recommended for patients experiencing this mushroom toxicity.

Area of Science:

  • Toxicology
  • Cardiology
  • Mycology

Background:

  • Amanita proxima mushroom poisoning, termed 'proximien' syndrome in France, is typically associated with digestive issues, mild liver damage, and later kidney problems.
  • Cardiac involvement has not been previously documented in cases of Amanita proxima poisoning.

Observation:

  • Two cases of poisoning from white mushrooms on the French Mediterranean coast presented with classic proximien syndrome symptoms.
  • These patients also developed severe cardiac alterations secondary to the mushroom ingestion.

Findings:

  • The described cases highlight a previously unreported cardiac toxicity associated with Amanita proxima.
  • Both patients recovered fully with symptomatic treatment, indicating potential reversibility of cardiac effects.

Implications:

  • Amanita proxima may possess significant cardiotoxic potential.
  • Early and thorough cardiac assessment should be integrated into the clinical management of patients with suspected Amanita proxima poisoning.

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