Mushroom Poisoning-A 17 Year Retrospective Study at a Level I University Emergency Department in Switzerland
The consequences of mushroom poisoning range from mild, mostly gastrointestinal, disturbances to organ failure or even death. This retrospective study describes presentations related to mushroom poisoning at an emergency department in Bern (Switzerland) from January 2001 to October 2017. Gastrointes...
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| Published in: | International journal of environmental research and public health Vol. 15; no. 12; p. 2855 |
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| Main Authors: | , , , , , , |
| Format: | Journal Article |
| Language: | English |
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| Abstract | The consequences of mushroom poisoning range from mild, mostly gastrointestinal, disturbances to organ failure or even death. This retrospective study describes presentations related to mushroom poisoning at an emergency department in Bern (Switzerland) from January 2001 to October 2017. Gastrointestinal disturbances were reported in 86% of the 51 cases. The National Poisons Information Centre and mycologists were involved in 69% and 61% of the cases, respectively. Identification of the mushroom type/family was possible in 43% of the cases. The most common mushroom family was Boletaceae (n = 21) and the most common mushrooms
(n = 7; four being part of a cluster),
,
and
(n = 5 each, four being part of a cluster). Poisonous mushrooms included
(n = 3, all analytically confirmed),
(n = 3),
(n = 2) and
(n = 2). There were no fatalities and 80% of the patients were discharged within 24 h. Mushroom poisoning does not appear to be a common reason for emergency consultation and most presentations were of minor severity and related to edible species (e.g., due to incorrect processing). Nevertheless, poisonous mushrooms and severe complications were also recorded. Collaboration with a poison centre and/or mycologists is of great importance, especially in high risk cases. |
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| AbstractList | The consequences of mushroom poisoning range from mild, mostly gastrointestinal, disturbances to organ failure or even death. This retrospective study describes presentations related to mushroom poisoning at an emergency department in Bern (Switzerland) from January 2001 to October 2017. Gastrointestinal disturbances were reported in 86% of the 51 cases. The National Poisons Information Centre and mycologists were involved in 69% and 61% of the cases, respectively. Identification of the mushroom type/family was possible in 43% of the cases. The most common mushroom family was Boletaceae (n = 21) and the most common mushrooms Xerocomus chrysenteron (n = 7; four being part of a cluster), Clitocybe nebularis, Lepista nuda and Lactarius semisanguifluus (n = 5 each, four being part of a cluster). Poisonous mushrooms included Amanita phalloides (n = 3, all analytically confirmed), Boletus satanas (n = 3), Amanita muscaria (n = 2) and Amanita pantherina (n = 2). There were no fatalities and 80% of the patients were discharged within 24 h. Mushroom poisoning does not appear to be a common reason for emergency consultation and most presentations were of minor severity and related to edible species (e.g., due to incorrect processing). Nevertheless, poisonous mushrooms and severe complications were also recorded. Collaboration with a poison centre and/or mycologists is of great importance, especially in high risk cases. The consequences of mushroom poisoning range from mild, mostly gastrointestinal, disturbances to organ failure or even death. This retrospective study describes presentations related to mushroom poisoning at an emergency department in Bern (Switzerland) from January 2001 to October 2017. Gastrointestinal disturbances were reported in 86% of the 51 cases. The National Poisons Information Centre and mycologists were involved in 69% and 61% of the cases, respectively. Identification of the mushroom type/family was possible in 43% of the cases. The most common mushroom family was Boletaceae (n = 21) and the most common mushrooms (n = 7; four being part of a cluster), , and (n = 5 each, four being part of a cluster). Poisonous mushrooms included (n = 3, all analytically confirmed), (n = 3), (n = 2) and (n = 2). There were no fatalities and 80% of the patients were discharged within 24 h. Mushroom poisoning does not appear to be a common reason for emergency consultation and most presentations were of minor severity and related to edible species (e.g., due to incorrect processing). Nevertheless, poisonous mushrooms and severe complications were also recorded. Collaboration with a poison centre and/or mycologists is of great importance, especially in high risk cases. The consequences of mushroom poisoning range from mild, mostly gastrointestinal, disturbances to organ failure or even death. This retrospective study describes presentations related to mushroom poisoning at an emergency department in Bern (Switzerland) from January 2001 to October 2017. Gastrointestinal disturbances were reported in 86% of the 51 cases. The National Poisons Information Centre and mycologists were involved in 69% and 61% of the cases, respectively. Identification of the mushroom type/family was possible in 43% of the cases. The most common mushroom family was Boletaceae (n = 21) and the most common mushrooms Xerocomus chrysenteron (n = 7; four being part of a cluster), Clitocybe nebularis , Lepista nuda and Lactarius semisanguifluus (n = 5 each, four being part of a cluster). Poisonous mushrooms included Amanita phalloides (n = 3, all analytically confirmed), Boletus satanas (n = 3), Amanita muscaria (n = 2) and Amanita pantherina (n = 2). There were no fatalities and 80% of the patients were discharged within 24 h. Mushroom poisoning does not appear to be a common reason for emergency consultation and most presentations were of minor severity and related to edible species (e.g., due to incorrect processing). Nevertheless, poisonous mushrooms and severe complications were also recorded. Collaboration with a poison centre and/or mycologists is of great importance, especially in high risk cases. |
| Author | Klukowska-Rötzler, Jolanta Lehmann, Beat Schenk-Jaeger, Katharina M Keller, Sarah A Exadaktylos, Aristomenis K Kupferschmidt, Hugo Liakoni, Evangelia |
| AuthorAffiliation | 1 Department of Emergency Medicine, Inselspital, University Hospital Bern, University of Bern, 3010 Bern, Switzerland; sarah.keller@students.unibe.ch (S.A.K.); jolanta.klukowska-roetzler@insel.ch (J.K.-R.); aristomenis.exadaktylos@insel.ch (A.K.E.); beat.lehmann@insel.ch (B.L.) 4 Institute of Pharmacology, University of Bern, 3010 Bern, Switzerland 3 Clinical Pharmacology and Toxicology, Department of General Internal Medicine, Inselspital, Bern University Hospital, University of Bern, 3010 Bern, Switzerland 2 National Poisons Information Centre, Tox Info Suisse, Associated Institute of the University of Zurich, 8032 Zurich, Switzerland; katharina.schenk@toxinfo.ch (K.M.S.-J.); hugo.kupferschmidt@toxinfo.ch (H.K.) |
| AuthorAffiliation_xml | – name: 2 National Poisons Information Centre, Tox Info Suisse, Associated Institute of the University of Zurich, 8032 Zurich, Switzerland; katharina.schenk@toxinfo.ch (K.M.S.-J.); hugo.kupferschmidt@toxinfo.ch (H.K.) – name: 1 Department of Emergency Medicine, Inselspital, University Hospital Bern, University of Bern, 3010 Bern, Switzerland; sarah.keller@students.unibe.ch (S.A.K.); jolanta.klukowska-roetzler@insel.ch (J.K.-R.); aristomenis.exadaktylos@insel.ch (A.K.E.); beat.lehmann@insel.ch (B.L.) – name: 4 Institute of Pharmacology, University of Bern, 3010 Bern, Switzerland – name: 3 Clinical Pharmacology and Toxicology, Department of General Internal Medicine, Inselspital, Bern University Hospital, University of Bern, 3010 Bern, Switzerland |
| Author_xml | – sequence: 1 givenname: Sarah A surname: Keller fullname: Keller, Sarah A email: sarah.keller@students.unibe.ch organization: Department of Emergency Medicine, Inselspital, University Hospital Bern, University of Bern, 3010 Bern, Switzerland. sarah.keller@students.unibe.ch – sequence: 2 givenname: Jolanta orcidid: 0000-0001-7956-2724 surname: Klukowska-Rötzler fullname: Klukowska-Rötzler, Jolanta email: jolanta.klukowska-roetzler@insel.ch organization: Department of Emergency Medicine, Inselspital, University Hospital Bern, University of Bern, 3010 Bern, Switzerland. jolanta.klukowska-roetzler@insel.ch – sequence: 3 givenname: Katharina M surname: Schenk-Jaeger fullname: Schenk-Jaeger, Katharina M email: katharina.schenk@toxinfo.ch organization: National Poisons Information Centre, Tox Info Suisse, Associated Institute of the University of Zurich, 8032 Zurich, Switzerland. katharina.schenk@toxinfo.ch – sequence: 4 givenname: Hugo surname: Kupferschmidt fullname: Kupferschmidt, Hugo email: hugo.kupferschmidt@toxinfo.ch organization: National Poisons Information Centre, Tox Info Suisse, Associated Institute of the University of Zurich, 8032 Zurich, Switzerland. hugo.kupferschmidt@toxinfo.ch – sequence: 5 givenname: Aristomenis K surname: Exadaktylos fullname: Exadaktylos, Aristomenis K email: aristomenis.exadaktylos@insel.ch organization: Department of Emergency Medicine, Inselspital, University Hospital Bern, University of Bern, 3010 Bern, Switzerland. aristomenis.exadaktylos@insel.ch – sequence: 6 givenname: Beat surname: Lehmann fullname: Lehmann, Beat email: beat.lehmann@insel.ch organization: Department of Emergency Medicine, Inselspital, University Hospital Bern, University of Bern, 3010 Bern, Switzerland. beat.lehmann@insel.ch – sequence: 7 givenname: Evangelia surname: Liakoni fullname: Liakoni, Evangelia email: evangelia.liakoni@insel.ch, evangelia.liakoni@insel.ch organization: Institute of Pharmacology, University of Bern, 3010 Bern, Switzerland. evangelia.liakoni@insel.ch |
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| Cites_doi | 10.1007/s11739-016-1585-5 10.1016/j.chroma.2013.11.054 10.1016/j.jemermed.2004.08.013 10.2174/138920112802273353 10.1097/00063110-200303000-00007 10.1179/acb.2006.063 10.1080/15563650701365834 10.1191/0960327105ht572oa 10.1016/j.jemermed.2004.08.019 10.1016/j.ejim.2012.03.014 10.1177/0960327114557901 10.1590/S1807-59322010000500006 10.1371/journal.pone.0162314 10.1177/0960327117730882 10.1097/01.CCM.0000153531.69448.49 10.1016/j.toxicon.2010.02.005 10.1055/s-0028-1091268 |
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| Copyright | 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2018 by the authors. 2018 |
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| Keywords | emergency department mushroom poisoning mushroom toxicity |
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| SubjectTerms | Complications Disturbances Emergencies Emergency medical services Information centers Laboratories Mushroom poisoning Mushrooms Patients Poisoning Poisons Suicides & suicide attempts Urine |
| Title | Mushroom Poisoning-A 17 Year Retrospective Study at a Level I University Emergency Department in Switzerland |
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