Mushroom Poisoning
Mushroom picking is one of the favorite ways of spending free time in the Czech Republic. Unfortunately, since not everyone in this country happens to be a mycologist there are many cases of fungal poisoning every year. Poisoning can occur in a variety of ways, ranging from banal nausea requiring medical treatment through excessive vomiting and diarrhea to severe organ failure. This condition, without timely and intensive care might lead to patient's death.
In this algorithm you will diagnose and then adequately treat poisoning with different types of fungi. We have three scenarios prepared, how many you go through depends on you.
Review
Therapeutic management in the Algorithm Mushroom Poisoning is adequate. Approximately all therapeutic approaches including a pharmacotherapy with antidotes, could have been debated since none of these have sufficient "evidence". The most important is a quick medical response, in the meaning of early elimination and gastrointestinal decontamination, also keeping the internal environment and farmakotherapy. Everything has been described in this algorithm.
Sources
HIRT, Miroslav. Toxikologie a jiné laboratorní metody ve forenzní praxi. Brno : Masarykova univerzita, 2011. ISBN 978-80-210-5477-6.
KUBIČKA, Jiří. Jedovaté houby. Praha : Avicenum, 1980.
HRDINA, Vratislav. Přírodní toxiny a jedy. Praha : Galén, 2004. ISBN 80-7262-256-0.
VETTER, János. Toxins of Amanita phalloides. Toxicon, 1998, 36.1: 13-24.
WARD, Jeanine, et al. Amatoxin poisoning: case reports and review of current therapies. Journal of Emergency Medicine, 2013, 44.1: 116-121.
GARCIA, Juliana, et al. Amanita phalloides poisoning: Mechanisms of toxicity and treatment. Food and chemical toxicology, 2015, 86: 41-55.
ESCUDIÉ, Luc, et al. Amanita phalloides poisoning: reassessment of prognostic factors and indications for emergency liver transplantation. Journal of Hepatology, 2007, 46.3: 466-473.
Czech Guidelines for treatment of Amanita phalloides intoxication: ŠPERL, Jan, PETRÁŠEK Jan. Doporučený postup ČHS pro diagnostiku a léčbu intoxikace houbou „Amanita phalloides“ [online]. Available online: http://www.ces-hep.cz/file/328/doporuceny-postup-chs-amanita-phalloides.pdf
toxidrome. (n.d.) Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. (2003). Retrieved April 30 2018 from https://medical-dictionary.thefreedictionary.com/toxidrome
