• 作者：A. Besancon^a ; C. Schmitt^b ; ^{corinne.schmitt@ap-hm.fr} ; M. Glaizal^b ; L. Tichadou^b ; K. Klouche^c ; M. Hayek-Lanthois^b ; L. de Haro^b
• 关键词：Amanita proxima ; Syndrome proximien ; Intoxication par des champignons ; Toxicité ; cardiaque ; Insuffisance ré ; nale aiguë
• 刊名：Annales Francaises d'Anesthesie et de Reanimation
• 出版年：2012
• 期刊代码：14_07507658
• 类别：med
• 出版时间：May, 2012
• 卷：31
• 期：5
• 页码：466-468
• 文件大小：222 K

Amanita proxima is one species of white mushroom which can induce poisonings called in France 鈥減roximien鈥?syndrome. The clinical feature of 鈥減roximien鈥?syndrome is mainly characterized by early digestive troubles, mild hepatic cytolysis and late renal impairment. A cardiac insult has never been reported in such a circumstance. The authors describe herein two cases of white mushroom poisoning occurred in the Mediterranean French coast with a typical clinical feature of 鈥減roximien鈥?syndrome plus secondary development of severe cardiac alterations. The outcome was good for the two patients thanks to symptomatic treatment. The cases reported here suggest that A.聽proxima have a potential severe cardiac toxicity leading to include early and precise cardiac examination in the management of patients poisoned by these mushrooms.