Logo

Log In Sign Up |  An official publication of: American College of Emergency Physicians
Navigation
  • Home
  • Multimedia
    • Podcasts
    • Videos
  • Clinical
    • Airway Managment
    • Case Reports
    • Critical Care
    • Guidelines
    • Imaging & Ultrasound
    • Pain & Palliative Care
    • Pediatrics
    • Resuscitation
    • Trauma & Injury
  • Resource Centers
    • mTBI Resource Center
  • Career
    • Practice Management
      • Benchmarking
      • Reimbursement & Coding
      • Care Team
      • Legal
      • Operations
      • Quality & Safety
    • Awards
    • Certification
    • Compensation
    • Early Career
    • Education
    • Leadership
    • Profiles
    • Retirement
    • Work-Life Balance
  • Columns
    • ACEP4U
    • Airway
    • Benchmarking
    • Brief19
    • By the Numbers
    • Coding Wizard
    • EM Cases
    • End of the Rainbow
    • Equity Equation
    • FACEPs in the Crowd
    • Forensic Facts
    • From the College
    • Images in EM
    • Kids Korner
    • Medicolegal Mind
    • Opinion
      • Break Room
      • New Spin
      • Pro-Con
    • Pearls From EM Literature
    • Policy Rx
    • Practice Changers
    • Problem Solvers
    • Residency Spotlight
    • Resident Voice
    • Skeptics’ Guide to Emergency Medicine
    • Sound Advice
    • Special OPs
    • Toxicology Q&A
    • WorldTravelERs
  • Resources
    • ACEP.org
    • ACEP Knowledge Quiz
    • Issue Archives
    • CME Now
    • Annual Scientific Assembly
      • ACEP14
      • ACEP15
      • ACEP16
      • ACEP17
      • ACEP18
      • ACEP19
    • Annals of Emergency Medicine
    • JACEP Open
    • Emergency Medicine Foundation
  • About
    • Our Mission
    • Medical Editor in Chief
    • Editorial Advisory Board
    • Awards
    • Authors
    • Article Submission
    • Contact Us
    • Advertise
    • Subscribe
    • Privacy Policy
    • Copyright Information

Toxic Mushroom Ingestions

By ACEP Now | on February 1, 2010 | 0 Comment
CME CME Now
  • Tweet
  • Email
Print-Friendly Version

Though rigorous evidence is lacking, gastric lavage and multiple-dose activated charcoal remain as recommendations, and symptomatic care is all that is needed in the majority of ingestions.

You Might Also Like
  • Toxicology Q&A Answer: Yes, the Amanita Muscaria Mushroom Is Toxic
  • Emergent Evaluation and Management Of Pelvic Inflammatory Disease
  • Bedside Biliary Ultrasound
Explore This Issue
ACEP News: Vol 29 – No 02 – February 2010

Delayed onset of symptoms should raise a red flag for potentially serious outcomes. New mushroom species have been included in the most recent classification schemes.

References

  1. Bronstein AC, Spyker DA, Cantilena Jr. LR, et al. 2007 annual report of the American association poison control centers’ national poison data system (NPDS): 25th annual report. Clin. Tox. 2008;46:927-1057.
  2. Barbee G, Berry-Caban C, Barry J, et al. Analysis of mushroom exposures in Texas requiring hospitalization, 2005-2006. J. Med. Toxicol. 2009;2:59-62.
  3. Beuhler MC, Sasser HC, Watson WA. The outcome of North American pediatric unintentional mushroom ingestions with various decontamination treatments: An analysis of 14 years of TESS data. Toxicon. 2009;53:447-53.
  4. Zilker T. Diagnosis and therapy of mushroom poisoning. Leber Magen Darm 1987;17:97-112.
  5. Lampe KF, McCann MA. Differential diagnosis of poisonings by North American mushrooms with particular emphasis on Amanita phalloides-like intoxication. Ann. Emerg. Med. 1987;19:956-62.
  6. Goldfrank LR et al [Eds]. Goldfrank’s Toxicologic Emergencies (7th ed.) Chapters 10, 70, and 76. McGraw-Hill: New York, 2002.
  7. Diaz JH. Evolving global epidemiology, syndromic classification, general management, and prevention of unknown mushroom poisonings. Crit. Care Med. 2005;33:419-26.
  8. Diaz JH. Syndromic diagnosis and management of confirmed mushroom poisonings. Crit. Care Med. 2005;33:427-36.
  9. Giannini L, Vannacci A, Missanelli A, et al. Amatoxin poisoning: A 15-year retrospective analysis and follow-up evaluation of 105 patients. Clin. Tox. 2007;45:539-42.
  10. Klein AS, Brems JJ, Goldstein L, et al. Amanita poisoning: treatment and the role of liver transplantation. Am. J. Med. 1989;86:187-93.
  11. Enjalbert F, Rapior S, Nouguier-Soule J, et al. Treatment of amatoxin poisoning: 20-year retrospective analysis. J. Toxicol. Clin. Toxicol. 2002;40:715-57.
  12. Bedry R, Baudrimont I, Deffieux G, et al. Wild-mushroom intoxication as a cause of rhabdomyolysis. N. Engl. J. Med. 2001;345:798-802.

Contributor Disclosures

Contributors

Dr. Kapur is an attending emergency physician and faculty member at MetroHealth Medical Center in Cleveland. Medical Editor Dr. Robert C. Solomon is an attending emergency physician at Trinity Health System in Steubenville, Ohio, and clinical assistant professor of emergency medicine at the West Virginia School of Osteopathic Medicine.

Disclosures

In accordance with the Accreditation Council for Continuing Medical Education (ACCME) Standards and American College of Emergency Physicians policy, contributors and editors must disclose to the program audience the existence of significant financial interests in or relationships with manufacturers of commercial products that might have a direct interest in the subject matter.

Pages: 1 2 3 4 5 6 7 | Single Page

Topics: Abdominal and GastrointestinalClinical ExamClinical GuidelineCMECritical CareDeathDiagnosisEducationEmergency MedicineEmergency PhysicianPainPediatricsProcedures and SkillsToxicology

Related

  • Influenza, Muscle Pain, and an Elevated Serum Creatine Kinase

    May 10, 2025 - 0 Comment
  • EM Runs in the Family

    February 26, 2025 - 0 Comment
  • Navigating Strict State Abortion Laws

    January 5, 2025 - 1 Comment

Current Issue

ACEP Now May 03

Read More

About the Author

ACEP Now

View this author's posts »

No Responses to “Toxic Mushroom Ingestions”

Leave a Reply Cancel Reply

Your email address will not be published. Required fields are marked *


*
*

Wiley
  • Home
  • About Us
  • Contact Us
  • Privacy
  • Terms of Use
  • Advertise
  • Cookie Preferences
Copyright © 2025 by John Wiley & Sons, Inc. All rights reserved, including rights for text and data mining and training of artificial technologies or similar technologies. ISSN 2333-2603