Coma in the course of severe poisoning after consumption of red fly agaric (Amanita muscaria)

• Authors: Małgorzata Mikaszewska-Sokolewicz , Sylwestra Pankowska , Marek Janiak , Piotr Pruszczyk , Tomasz Łazowski , Krzysztof Jankowski
• Languages of publication: EN

Abstracts

EN

Red fly agaric poisoning is rare. It can be consumed for suicidal purposes or its psychedelic effect. The paper describes the case of a young men, who fell into a coma after ingestion of the red toadstools. Quick identification of the poison, early use of gastric lavage and symptomatic treatment resulted in regression of symptoms and lead to the patient's discharge from the hospital on the third day after intoxication. Authors discussing the poisonous alkaloids contained in the red toadtools: ibotenic acid, muscimol, muscasone and muscarine and theirs properties, responsible for the symptoms of intoxication.

Keywords

EN

Amanita muscaria; hallucinogenic mushroom; coma; ibotenic acid; muscimol; muscasone

• Publisher: Polish Biochemical Society
• Journal: Acta Biochimica Polonica
• Year: 2016
• Volume: 63
• Issue: 1
• Pages: 181-182

Dates

published

2016

received

2015-08-11

revised

2015-10-07

accepted

2015-11-07

(unknown)

2016-02-01

Contributors

author

Małgorzata Mikaszewska-Sokolewicz

• 1st Clinic of Anaesthesia and Intensive Care, Medical University of Warsaw, Warsaw, Poland

author

Sylwestra Pankowska

• 1st Clinic of Anaesthesia and Intensive Care, Medical University of Warsaw, Warsaw, Poland

author

Marek Janiak

• 1st Clinic of Anaesthesia and Intensive Care, Medical University of Warsaw, Warsaw, Poland

author

Piotr Pruszczyk

• Department of Internal Medicine and Cardiology, Medical University of Warsaw, Warsaw, Poland

author

Tomasz Łazowski

• 1st Clinic of Anaesthesia and Intensive Care, Medical University of Warsaw, Warsaw, Poland

author

Krzysztof Jankowski

• Department of Internal Medicine and Cardiology, Medical University of Warsaw, Warsaw, Poland

References

• Benjamin DR (1992) Mushroom poisoning in infants and children: the Amanita pantherina/muscaria group. J Toxicol Clin Toxicol 30: 13-22.
• Brvar M, Mozina M, Bunc M (2006) Prolonged psychosis after Amanita muscaria ingestion. Wien Klin Wochenschr 118: 294-297.
• Davis DP, Williams SR (1999) Amanita muscaria. J Emerg Med 17: 739.
• Drewnowska M, Jarzyńska G, Kojta AK, Falandysz J (2012) Mercury in European Blushers, Amanita rubenscens mashrooms and topsoils: bioconcentration potential and intake assessment. J Environ Sci Health B 47: 466-474.
• Hillebrand, J, Olszewski D, Sedefov R (2006) Hallucinogenic mushrooms: an emerging trend case study. European Monitoring Centre for Drugs and Drug Addiction (EMCDDA), Lisbon.
• Satora L, Pach D, Butryn B, Hydzik P, Balicka-Ślusarczyk B (2005) Fly agaric (Amanita muscaria) poisoning, case report and review. Toxicon 45: 941-943.
• Łukasik-Głębocka M, Drużdż A, Naskret M (2011) Clinical symptoms and circumstances of acute poisoning with fly agaric (Amanita muscaria) and panther cap (Amanita pantherina). Przegl Lek 68: 449-452.
• Vendramin A, Brvar M (2014) Amanita muscaria and Amanita pantherina poisoning: two syndromes. Toxicon 90: 269-272.

Identifiers

DOI

10.18388/abp.2015_1170