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Pediatric Emergency MedicinePediatric Emergency Medicine

Part 5. Environmental Poisons > 

Chapter 129. Mushroom Poisoning

Steven E. Aks
Topics Discussed: acute illness; agaricales; amanita; amanita pantherina; amanita phalloides; amanita phalloides poisoning; amanita species poisoning; amanita verna; amanita virosa; amatoxin; amatoxin poisoning; chlorophyllum molybdites; coprine; coprinus; cortinarius; gastrointestinal irritation; gyromitra esculenta; gyromitrin; hallucinogenic mushrooms; ibotenic acid; monomethylhydrazine; muscarine; muscimol; mushroom poisoning; nephrotoxicity.
Sections: References.
Excerpt:"Most toxic mushroom species fall into one of nine distinct classifications or groups. These groups contain specific chemical toxins that give rise to distinct clinical syndromes that are characterized by the time to onset after ingestion, and the nature of the symptoms.This is one of the major groups of mushrooms that can lead to life-threatening toxicity. Some examples of mushrooms in this group include A. phalloides (Fig. 129–2), A. verna, A. virosa, and certain species of Galerina and Lepiota. These mushrooms contain amatoxins, phallatoxins, and virotoxins. Only the amatoxins are considered significant in human poisoning. Amatoxins are felt to cause toxicity by interfering with RNA polymerase reactions...."
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