Mushroom Poisoning-A 17 Year Retrospective Study at a Level I University Emergency Department in Switzerland.

Keller, Sarah A; Klukowska-Rötzler, Jolanta; Schenk-Jaeger, Katharina M; Kupferschmidt, Hugo; Exadaktylos, Aristomenis; Lehmann, Beat; Liakoni, Evangelia (2018). Mushroom Poisoning-A 17 Year Retrospective Study at a Level I University Emergency Department in Switzerland. International journal of environmental research and public health, 15(12) Molecular Diversity Preservation International MDPI 10.3390/ijerph15122855

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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.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Pharmacology
04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Clinic of General Internal Medicine
04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > University Emergency Center

UniBE Contributor:

Klukowska-Rötzler, Jolanta; Exadaktylos, Aristomenis; Lehmann, Beat and Liakoni, Evangelia

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1661-7827

Publisher:

Molecular Diversity Preservation International MDPI

Language:

English

Submitter:

Christine Baumgartner

Date Deposited:

15 Feb 2019 16:46

Last Modified:

25 Oct 2019 07:15

Publisher DOI:

10.3390/ijerph15122855

PubMed ID:

30558129

Uncontrolled Keywords:

emergency department mushroom poisoning mushroom toxicity

BORIS DOI:

10.7892/boris.123178

URI:

https://boris.unibe.ch/id/eprint/123178

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