Numerous species of fungi can cause poisoning after eating. Symptoms vary depending on the type of fungus. An identification of the fungal species is difficult, so the treatment is usually led by the symptoms.

to distinguish poisonous and non-poisonous species in the wild is not always easy even for experienced mushroom pickers. Commonly held rules are unreliable, and the same type of fungus may have different effects toxic, depending on where and when it was harvested. If patients have eaten an unknown fungus, u can. U. fungal identification allow specific therapy. However, as an experienced mushroom expert is rarely immediately available, the treatment of patients who become ill after a mushroom meal, usually first symptom-oriented manner. If fungal residues or vomit are still present, they may be sent in for mycological examination.

Numerous species of fungi can cause poisoning after eating. Symptoms vary depending on the type of fungus. An identification of the fungal species is difficult, so the treatment is usually led by the symptoms. to distinguish poisonous and non-poisonous species in the wild is not always easy even for experienced mushroom pickers. Commonly held rules are unreliable, and the same type of fungus may have different effects toxic, depending on where and when it was harvested. If patients have eaten an unknown fungus, u can. U. fungal identification allow specific therapy. However, as an experienced mushroom expert is rarely immediately available, the treatment of patients who become ill after a mushroom meal, usually first symptom-oriented manner. If fungal residues or vomit are still present, they may be sent in for mycological examination. All poisonous mushrooms cause vomiting and abdominal pain; the additional complaints depend largely on the type of fungi. In general, fungi that cause symptoms early are (within 2 hours), less dangerous than those at a later date (eg. As after 6 hours) cause discomfort. The treatment of most mushroom poisoning is symptomatic and supportive. Activated charcoal may be useful to reduce the absorption. Numerous antidote therapies have been made especially for Amanita species, but none has shown very positive results. Early Gastrointestinal symptoms fungi that cause early gastrointestinal symptoms (n. D. Talk .: z. B. Chlorophyllum molybdites, Tiger Ritterlingsartige, Speitäubling, entoloma sinuatum), cause gastroenteritis, sometimes with headaches and muscle pain. The diarrhea is sometimes bloody. Usually the complaints within 24 hours of form back again. Treatment is supportive. Early neurological symptoms Among the fungi that cause early neurological symptoms include hallucinogenic mushrooms, which are mostly consumed abusive because they contain the hallucinogen psilocybin. Most belong to the species of Psilocybe, but also some other types may contain psilocybin. Onset one within 15-30 minutes and express themselves in euphoria, winged fantasies and hallucinations. Tachycardia and hypertension are common, although fever can occur in children, but serious consequences are rare. The treatment does occasionally sedation (z. B. with benzodiazepines) is required. Early muscarinic symptoms Among the fungi that cause early muscarinic symptoms include Inocybe- and Clitocybe species. The symptoms include muscarinic syndrome (see Table: Common Toxic Syndromes (Toxidrome)) as miosis, Bronchorrhö, bradycardia, profuse sweating, shortness of breath and muscular fasciculation. The symptoms are usually mild to begin within 30 minutes and are formed within 12 hours back. Heavy muscarinic symptoms (eg. As shortness of breath, bradycardia) may be treated with atropine. Delayed GI symptoms to the mushrooms with a delayed gastrointestinal symptoms include Amanita-, Gyromitra-, and Cortinarius species. The most poisonous Amanita phalloides mushroom is the Amanita (Amanita phalloides), which is responsible for 95% of fatal mushroom poisonings. The initial gastroenteritis that occurs 6-12 hours after mushroom meal can be pronounced; hypoglycaemia may occur. The initial symptoms disappear after a few days off again; then a liver and kidney failure develops. For initial diagnosis include close monitoring of glycemic control, control of AST and ALT, INR, the creatinine and bilirubin. Therapeutic substitution liquid and the repeated administration of activated charcoal are important. The treatment of liver failure can make liver transplantation; the effectiveness of other treatment-specific measures (z. B. N-acetylcysteine, high doses of penicillin, i.v. fat emulsion silibinin) is unproven. Amanita smithiana fungi cause a delayed gastroenteritis, usually 6-12 hours after ingestion, and acute renal failure (usually within 1-2 weeks after taking), which often requires dialysis. Gyromitra fungi can cause simultaneously with or immediately after a gastroenteritis hypoglycaemia. Other symptoms manifest themselves as CNS disorders (eg. As seizures) and after a few days as hepatorenal syndrome. For initial diagnosis include close monitoring of glycemic control, control of AST and ALT, INR, the creatinine and bilirubin. Therapeutic substitution liquid and the repeated administration of activated charcoal are important. Neurological symptoms iv with pyridoxine 70 mg / kg in slow Infusion over 4-6 h treated (maximum daily dose 5 g); liver failure is treated supportive. Most Cortinarius species are native to Europe. The gastroenteritis may last up to 3 days. Renal failure with flank pain and reduced urine output occurs 3-20 days after the mushroom meal. Renal failure often forms spontaneously back. (N. D. Talk .: Renal failure is not always spontaneously, so hemodialysis and kidney transplantation may be necessary at a later stage even.)

Health Life Media Team

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