Mycetismus Grade
Poisonous mushrooms (champignons venereux) are often the main cause of acute mycosis. However, there are still cases of poisoning due to the consumption of edible mushrooms (champignons comestibles) if not properly processed. Some of these fungi contain toxins but are easily decomposed by heat and easily soluble in water.
Therefore, when thoroughly washed, boiled and removed the boiling water will help eliminate toxic components from food. In addition, drying can destroy toxins of edible mushrooms such as honeycomb mushrooms
Poisoning depends on the body's perception, there are fungi that are not toxic to animals but dangerous to humans. In Europe, the disease increases in the spring, the mushroom growing season, accounting for the highest incidence of food poisoning infections and is often life-threatening
In our country, the frequency of disease is not high, occurring in remote areas and new economic regions
The diagnosis is usually based on the eating history. Identify the agent by identifying toxins in gastric juice, blood, urine, feces by chromatographic methods, biochemical reactions .
... or identifying fungal poisoning by micro-fungal specialists.Clinical manifestations varied with short or long incubation period depending on mycotoxins.
Treatment:
Cases of poisoning with a short incubation period, can eliminate toxins in the intestine by causing vomiting, enema or enemas
Destroy or neutralize toxicity
Symptomatic treatment and support.
CASE STUDY CASES WITHIN TIME DISEASE IN 2 HOURS
Including the following forms:
Mycetismus nervosus
Due to the toxin ibotenic acid and muscimol in Amanita muscaria, Amanita pantherina ...
.: Similar manifestations of acute alcohol poisoning: confusion, restlessness, visual disturbances, delirium. The disease resolves after 24 hours, requiring no treatment.Due to the muscarine toxin from fungus Inocybe spp., Clitocybe spp: parasympathetic effect: sweating, salivary flow, abdominal cramps, diarrhea, struggle, copper magnetic disturbance of sight The disease self-limited after 24 hours, can be treated with Atropin.
Due to disulfiram-like toxin when eating larvae near aentarius: Causes headache, flushing face, paresthesia, vomiting, tachycardia but only occurs if the patient drinks alcohol within 48 hours after eating mushrooms. Symptoms subside within 1 day.
Mycetimus cerebris
Psilocybin and psilocin toxins found in Psicocybe spp., Panaeolus spp: Causes acute mental reactions such as hallucinations, behavioral disorders but will gradually decrease in 24 hours.
CASE STUDY CASES WITHOUT TIME HOLDING AFTER 6 HOURS
The common clinical forms are:
Mycetismus gstrointestinalis
When infected with the fungus Russula emetica, Boletus satanus, there will be signs of hoarseness, vomiting, diarrhea.
. These symptoms limit themselves after 1-2 days.Mycetismus choleriformis
Mushrooms Amanita phalloides, Amanita verna, Amanita virosa . are known as "murderers in the forest" and "killing fairies" because their amatoxins, phallotoxins (phalloidin and phalloine) are very toxic. Clinical manifestations include two stages:
Stage 1: The active phalloidin toxin causes abdominal cramps, vomiting, bloody diarrhea, and can be very serious leading to death but the disease usually decreases after 24 hours.
Phase 2: 1-2 days after passing stage 1, under the effect of phalloine, signs of severe renal failure appear with about 30% - 50% mortality.
The incubation period of these toxins lasts about 6-8 hours, so gastric lavage does not work, mainly rehydration, stop diarrhea, use cardiovascular aids and antiphalloidique antisera injection (40ml).
Mycetismus ansuinareus
The toxin of Helvella esculenta has the ability to cause erythrocyte rupture, abdominal pain, hematuria, jaundice, and sometimes requires blood transfusion for patients. The disease usually resolves after 3-4 days but a few cases can lead to death.
BS.
Doctor (St)SAI GON KST SPECIALIST SURVICE
SPECIALIST IN PREVENTION AND SPRING
Address: 402 An Duong Vuong, Ward 4, District 5, TP. HCM
TEL. 028 38 30 23 45 - Schedule of medical examination - View the map
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