| Summary: | Mushroom poisoning has an important place in the poisonings applied to emergency department (ED). Patients may present with different toxoids according to the fungus and toxin fecalin. Pantherina syndrome is a tablature that can interfere with cerebrovascular diseases due to clinical presentation. Three patients from the same family were admitted to our ED with newly developed symptoms of confusion, aphasia and mydriasis. When the first patient was evaluated, the diagnosis of hypertensive encephalopathy was first considered with the current symptoms. However, after the application of the second and third patients with similar symptoms, the anamnesis was deepened and the story of eating a mushroom was questioned. Patients are treated in the emergency ICU. Two patients recovered within 24 hours, and the symptoms of one patient continued for up to 72 hours. Pantherina syndrome is a toxicoma characterized by early onset, confusion, neurological symptoms such as aphasia and mydriasis. Treatment is generally supportive treatment. Stomach lavage and activated charcoal will be useful in the early period. Benzodiazepines can be used in extreme agitation. Pantherina syndrome is one of the diagnoses that clinicians should actually have in patients presenting with an acute confusional condition.
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