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Summary

Two patients presented with acute confusion, seizures, and coma after consuming wild mushrooms. Diagnosis confirmed pantherina syndrome, a rare mushroom poisoning, highlighting the need for toxicological awareness.

Keywords:
Amanita pantherinaMushroom intoxicationPanther mushroomPantherina syndromeUnclear coma

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Area of Science:

  • Toxicology
  • Neurology
  • Emergency Medicine

Background:

  • Acute confusion, seizures, and coma are critical neurological emergencies.
  • Mushroom poisoning can present with diverse and severe systemic effects.
  • Differentiating toxic syndromes requires comprehensive diagnostic approaches.

Observation:

  • Patients presented with acute confusion, nausea, complex-focal seizures, and coma.
  • Initial diagnostic work-up in the intensive care unit was inconclusive.
  • A meal containing self-picked mushrooms was discovered in the patients' apartment.

Findings:

  • Specialized laboratory tests led to the diagnosis of pantherina syndrome.
  • This syndrome is associated with the consumption of specific toxic mushrooms.
  • The clinical presentation mimicked other neurological emergencies.

Implications:

  • Underscores the critical importance of accurate mushroom identification to prevent poisoning.
  • Suggests the need for increased awareness among medical professionals regarding rare toxic syndromes.
  • Emphasizes the role of environmental factors and patient history in diagnosing obscure conditions.