TOX 10 - Mushroom poisoning

Question 1

Rapid onset type: onset and from what

Answer 1

• effect within 15-30 min

- mushrooms containing MUSCARINE

Question 2

Rapid onset type: signs

Answer 2

Muscarinic excess (sweating, salivating, bradycardia, nausea, vomiting)

Some mushrooms contain atropine like poison as well, which causes CNS stimulation and hallucinations

Question 3

Delayed onset type: contents, onset

Answer 3

Contains a-amanitin (harmful to parenchymal tissues) and phalloidin (hepatotoxic)

Onset 6-12 hours after ingesting

Question 4

Delayed onset type: signs

Answer 4

Initial - nausea, vomiting, diarrhea, shock

days later - hepatotoxicity, nephrotoxicity

Question 5

Delayed onset type: therapy

Answer 5

Decontamination and symptomatic treatment