UMEM Educational Pearls

Category: Toxicology

Title: Management of Mushroom Toxicity

Keywords: amanita, mushrooms, liver (PubMed Search)

Posted: 4/24/2008 by Fermin Barrueto, MD (Updated: 10/21/2021)
Click here to contact Fermin Barrueto, MD

 How to recognize a truly toxic mushroom ingestion (remember one mushroom can be lethal!):

1) Onset of GI symptoms within 3 hours from time of ingestion: USUALLY NONTOXIC

- Control nausea and  vomiting

- Look for toxidrome: hallucinations, muscarinic symptoms, lethargy

 

2) Onset of GI symptoms greater than 5 hrs is associated with more toxic mushrooms

- High degree of suspicion for a cyclopeptide mushroom (Amanita phylloides)

- Follow liver enzymes and consier referral to liver transplant center