Analysis of mushroom exposures in texas requiring hospitalization, 2005-006

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• 作者：George A. Barbee (1) <br> Cristóbal S. Berry-Cabán (2) <br> James D. Barry (3) <br> Douglas J. Borys (4) <br> John A. Ward (3) <br> Steven W. Salyer (3) <br>
• 关键词：mycetismus ; mushroom ; mushroom ingestion ; Texas ; Amanita
• 刊名：Journal of Medical Toxicology
• 出版年：2009
• 出版时间：June 2009
• 年：2009
• 卷：5
• 期：2
• 页码：59-62
• 全文大小：98KB
• 参考文献：1. Berger KJ, Guss DA. Mycotoxins revisited: Part I. / J Emerg Med, 2005;28(1):53-2. CrossRef <br> 2. Metzler S, Metzler V. / Texas mushrooms: a field guide. 1st ed. Austin: University of Texas Press; 1992. <br> 3. Ford MD. Clinical toxicology. Philadelphia: W. B. Saunders. 2001. <br> 4. Gussow L. The optimal management of mushroom poisoning remains undetermined. / West J Med 2000; 173(5): 317-18. CrossRef <br> 5. Centers for Disease Control and Prevention. Amanita phalloides Mushroom Poisoning—Northern California, January 1997. MMWR Morb Mortal Wkly Rep 1997;46(22): 489-92. <br> 6. Faulstich H. Mushroom poisoning. / Lancet 1980;2(8198): 794-95. CrossRef <br> 7. Weber T. Mushroom poisoning. / Lancet 1980;2(8195 pt 1): 640. CrossRef <br> 8. Bronstein AC, et al. 2006 Annual Report of the American Association of Poison Control Centers-National Poison Data System (NPDS). / Clin Toxicol (Phila) 2007;45(8):815-17. <br>
• 作者单位：George A. Barbee (1) <br> Cristóbal S. Berry-Cabán (2) <br> James D. Barry (3) <br> Douglas J. Borys (4) <br> John A. Ward (3) <br> Steven W. Salyer (3) <br><br>1. Department of Emergency Medicine, Womack Army Medical Center, 2817 Reilly Road, 28310, Fort Bragg, NC <br> 2. Information Management Division, Clinical Data Services, Womack Army Medical Center, Fort Bragg, NC <br> 3. Brooke Army Medical Center, Fort Sam Houston, TX <br> 4. Central Texas Poison Center, Scott & White Memorial Hospital, Temple, TX <br>
• ISSN：1937-6995

文摘

Introduction Texas has approximately 200 species of wild mushrooms, including toxic and hallucinogenic varieties. Mushroom ingestions in Texas were studied for 2005-006. Methods Data was obtained via Texas Poison Control Centers and retrospectively reviewed. Case notes were reviewed individually regarding initial reporting, age, signs and symptoms, toxic effect, management, and patient outcomes. Results A total of 742 exposures occurred during the study period. All exposures were acute and intentional. Of these exposures, 59 (7.9%) were admitted to the hospital, with 17 (28.8% of admissions) requiring admission to a critical care unit. Four cases required inpatient psychiatric admission. The average age of admitted exposures was 20.5 years, with a male-to-female predominance of 3.3:1. Eleven (22.9%) of the admitted exposures were identified, with Psilocybin being the most common agent (n = 10, 91%). Among the admissions, co-ingestions were identified with the mushroom ingestion in eleven patients (40.7%). The most common symptoms in admitted patients were vomiting (n = 34, 57.6%), nausea (n = 19, 32.2%), altered mental status (n = 17, 28.8%), abdominal pain (n = 13, 22%), and diarrhea (n = 10, 16.9%). Conclusions All mushroom exposures examined were acute and intentional. Major toxic reactions were uncommon, and no deaths were reported. Serious poisoning from mushroom ingestion is rare in Texas; however, there is greater need for information dissemination on morbidity.