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- Title
Epidemiology and clinics of mushroom poisoning in Northern Italy: A 21-year retrospective analysis.
- Authors
Cervellin, G.; Comelli, I.; Rastelli, G.; Sanchis-Gomar, F.; Negri, F.; De Luca, C.; Lippi, G.
- Abstract
Background: Limited information exists about epidemiology and management of mushroom poisoning. We analyzed and described epidemiology, clinical presentation, and clinical course of mushroom-poisoned patients admitted to emergency departments (EDs) of the Province of Parma, Italy. Methods: Data from the database of mycological service were matched with clinical information retrieved from hospitals’ database, from January 1, 1996 to December 31, 2016. Results: Mycologist consultation was obtained in 379/443 identified mushroom poisonings. A remarkable seasonality was found, with significant peak in autumn. Thanks to the collaboration, the implicated species could be identified in 397 cases (89.6%); 108 cases (24.4%) were due to edible mushrooms, Boletus edulis being the most represented (63 cases). Overall, 408 (92%) cases presented with gastrointestinal toxicity. Twenty cases of amatoxin poisoning were recorded (11 Amanita phalloides and 9 Lepiota brunneoincarnata). One liver transplantation was needed. We observed 13 cases of cholinergic toxicity and 2 cases of hallucinogenic toxicity. Finally, 46 cases were due to “mixed” toxicities, and a total of 69 needed hospitalization. Conclusions: Early identification and management of potentially life-threatening cases is challenging in the ED, so that a mycologist service on call is highly advisable, especially during periods characterized by the highest incidence of poisoning.
- Subjects
ITALY; MUSHROOM poisoning; POISONING; PUBLIC health; EDIBLE mushrooms; BOLETUS edulis; AMATOXINS; GASTROINTESTINAL diseases; PATIENTS; DISEASE risk factors
- Publication
Human & Experimental Toxicology, 2018, Vol 37, Issue 7, p697
- ISSN
0960-3271
- Publication type
Article
- DOI
10.1177/0960327117730882