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Toxicity, Mushroom (Diagnosis)

eMedicine Emergency Medicine, 2011


Findings may be normal, but anemia may be observed with prolonged renal insufficiency and coagulopathy may complicate uremia.
Other Tests A 12-lead electrocardiogram is useful if hyperkalemia or other comorbidities is suspected.
Since a considerable delay between ingestion and presentation (days) usually exists, it is unlikely that gastric specimens will be of any use.
It may be possible to have additional mushrooms collected and identified if patient is able to describe area where the mushrooms were foraged.
Hoppe-Roberts JM, Lloyd LM, Chyka PA. Poisoning mortality in the United States: comparison of national mortality statistics and poison control center reports.  Ann Emerg Med . May 2000;35(5):440-8.  .
Yildirim C, Bayraktaroglu Z, Gunay N, Bozkurt S, Köse A, Yilmaz M. The use of therapeutic plasmapheresis in the treatment of poisoned and snake bite victims: an academic emergency department's experiences.  J Clin Apher . Dec 2006;21(4):219-23.  .
[ ] Further Reading [ ] Keywords , orellanine exposure, , orellanine toxicity, Cortinarius orellanus,  poznan cort mushroom, orellanine toxin, C orellanus, Cortinarius speciosissimus, Cortinarius rainierensis, Cortinarius callisteus, Cortinarius gentilis, deadly cort, gentle cort, Cortinarius splendens, Cortinarius cinnamomeus, Cortinarius semisanguineus, orelline, mushroom poisoning [ ] Contributor Information and Disclosures Author Reed Brozen, MD,  Director of Air Transport, Associate Professor, Department of Emergency Medicine, Dartmouth Medical School, Dartmouth-Hitchcock Medical Center Reed Brozen, MD is a member of the following medical societies: , , , and
Disclosure: Nothing to disclose Managing Editor Michael Hodgman, MD,  Assistant Clinical Professor of Medicine, Department of Emergency Medicine, Bassett Healthcare Michael Hodgman, MD is a member of the following medical societies: , , , and
The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider.