Mushroom poisoning: first-hand account

December 18, 2011, 4:25 pm

Chlorophyllum molybdites

★★★½☆

Mushroom poisoning: a personal vignette. Mollison LC. Med J Aust 2011 December 5/19;195:720-1.

Abstract 

This short report — written by a gastroenterologist in Perth — describes the authors personal experience with mushroom poisoning after taking “two small bites” of an innocuous-looking white button mushroom which turned out to be the highly toxic species Chlorophyllum molybdites (the green-gilled mushroom).

The author describes the mushroom as having a very pleasant “sweet, nutty” taste. However, 2 hours after ingestion, the author developed nausea, frequent vomiting,  profuse diarrhea, and diaphoresis. Feeling he would pass out, he lay on his bathroom floor in a “drenching sweat”. He pulse rate was 30/minute.

In the emergency department, he received 4 L of fluid and an antiemtic. After treatment, he was discharged home and the next day was essentially asymptomatic.

C. molybdites is a Group VII mushroom, containing gastrointestinal irritants that have not been well-characterized. Onset of GI symptoms is about 1 – 3 hours after ingestion. Symptoms usually last for several hours.  Although prognosis is generally good, hypovolemic shock can occur.

Link: Perth Fungi Field Book

[Photo of Chlorophyllum molybdites from wikipedia.org]

 

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