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Amanita phalloides Mushroom Poisonings - Northern California, December 2016.

Abstract Amanita phalloides, colloquially known as the "death cap," belongs to the Phalloideae section of the Amanita family of mushrooms and is responsible for most deaths following ingestion of foraged mushrooms worldwide (1). On November 28, 2016, members of the Bay Area Mycological Society notified personnel at the California Poison Control System (CPCS) of an unusually large A. phalloides bloom in the greater San Francisco Bay Area, coincident with the abundant rainfall and recent warm weather. Five days later, CPCS received notification of the first human A. phalloides poisoning of the season. Over the following 2 weeks, CPCS was notified of an additional 13 cases of hepatotoxicity resulting from A. phalloides ingestion. In the past few years before this outbreak, CPCS received reports of only a few mushroom poisoning cases per year. A summary of 14 reported cases is presented here. Data extracted from patient medical charts revealed a pattern of delayed gastrointestinal manifestations of intoxication leading to dehydration and hepatotoxicity. Three patients received liver transplants and all but one recovered completely. The morbidity and potential lethality associated with A. phalloides ingestion are serious public health concerns and warrant medical provider education and dissemination of information cautioning against consuming foraged wild mushrooms.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title mmwr. morbidity and mortality weekly report
Publication Year Start




PMID- 28570504
OWN - NLM
STAT- MEDLINE
DA  - 20170601
DCOM- 20170605
LR  - 20170605
IS  - 1545-861X (Electronic)
IS  - 0149-2195 (Linking)
VI  - 66
IP  - 21
DP  - 2017 Jun 02
TI  - Amanita phalloides Mushroom Poisonings - Northern California, December 2016.
PG  - 549-553
LID - 10.15585/mmwr.mm6621a1 [doi]
AB  - Amanita phalloides, colloquially known as the "death cap," belongs to the
      Phalloideae section of the Amanita family of mushrooms and is responsible for
      most deaths following ingestion of foraged mushrooms worldwide (1). On November
      28, 2016, members of the Bay Area Mycological Society notified personnel at the
      California Poison Control System (CPCS) of an unusually large A. phalloides bloom
      in the greater San Francisco Bay Area, coincident with the abundant rainfall and 
      recent warm weather. Five days later, CPCS received notification of the first
      human A. phalloides poisoning of the season. Over the following 2 weeks, CPCS was
      notified of an additional 13 cases of hepatotoxicity resulting from A. phalloides
      ingestion. In the past few years before this outbreak, CPCS received reports of
      only a few mushroom poisoning cases per year. A summary of 14 reported cases is
      presented here. Data extracted from patient medical charts revealed a pattern of 
      delayed gastrointestinal manifestations of intoxication leading to dehydration
      and hepatotoxicity. Three patients received liver transplants and all but one
      recovered completely. The morbidity and potential lethality associated with A.
      phalloides ingestion are serious public health concerns and warrant medical
      provider education and dissemination of information cautioning against consuming 
      foraged wild mushrooms.
FAU - Vo, Kathy T
AU  - Vo KT
FAU - Montgomery, Martha E
AU  - Montgomery ME
FAU - Mitchell, S Todd
AU  - Mitchell ST
FAU - Scheerlinck, Pieter H
AU  - Scheerlinck PH
FAU - Colby, Daniel K
AU  - Colby DK
FAU - Meier, Kathryn H
AU  - Meier KH
FAU - Kim-Katz, Susan
AU  - Kim-Katz S
FAU - Anderson, Ilene B
AU  - Anderson IB
FAU - Offerman, Steven R
AU  - Offerman SR
FAU - Olson, Kent R
AU  - Olson KR
FAU - Smollin, Craig G
AU  - Smollin CG
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20170602
PL  - United States
TA  - MMWR Morb Mortal Wkly Rep
JT  - MMWR. Morbidity and mortality weekly report
JID - 7802429
SB  - IM
MH  - Adult
MH  - Aged, 80 and over
MH  - Amanita
MH  - California
MH  - Female
MH  - Humans
MH  - Infant
MH  - Male
MH  - Middle Aged
MH  - Mushroom Poisoning/*diagnosis/therapy
MH  - Young Adult
EDAT- 2017/06/02 06:00
MHDA- 2017/06/06 06:00
CRDT- 2017/06/02 06:00
AID - 10.15585/mmwr.mm6621a1 [doi]
PST - epublish
SO  - MMWR Morb Mortal Wkly Rep. 2017 Jun 2;66(21):549-553. doi:
      10.15585/mmwr.mm6621a1.

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