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Russula subnigricans Poisoning: From Gastrointestinal Symptoms to Rhabdomyolysis

Shide Lin1, Maoyuan Mu1, Fangwan Yang1

  • 1Department of Infectious Diseases, First Affiliated Hospital of Zunyi Medical College, Zunyi, China (Dr Lin, Ms. Mu, and Mr F Yang).

Wilderness & Environmental Medicine
|August 1, 2015
PubMed

Insights

Wild mushroom poisoning, specifically from Russula subnigricans, can cause rhabdomyolysis, a rare but serious condition. Early recognition and supportive care are crucial for survival in these poisoning cases.

Area of Science:

  • Toxicology
  • Mycology
  • Clinical Medicine

Background:

  • Wild mushroom ingestion is a known cause of toxic syndromes.
  • Acute liver or renal failure are commonly reported complications.
  • Acute rhabdomyolysis is a rarely documented consequence of mushroom poisoning.

Observation:

  • A family of 7 individuals experienced poisoning after consuming Russula subnigricans mushrooms.
  • Clinical presentations ranged from gastrointestinal upset to severe rhabdomyolysis.
  • One fatality occurred within the affected family.

Findings:

  • This case series provides evidence linking Russula subnigricans mushroom ingestion to acute rhabdomyolysis.
  • The study highlights the varied clinical spectrum of this specific mushroom poisoning.
  • Rhabdomyolysis represents a significant and potentially fatal outcome.

Implications:

  • Clinicians should consider Russula subnigricans poisoning in patients presenting with rhabdomyolysis, especially with a history of wild mushroom consumption.
  • Prompt diagnosis and aggressive supportive management are vital for improving patient outcomes.
  • Further research into the specific toxins and mechanisms of Russula subnigricans poisoning is warranted.
Keywords:
Russula subnigricansbasidiomycetemushroom poisoningrhabdomyolysis

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