A series of cases of rhabdomyolysis after ingestion of Tricholoma equestre

Tricholoma equestre (hereinafter  –  T. equestre) is a  common edible fungus that is considered to be toxic under certain conditions. Here, we report four cases of acute poisoning caused by T. equestre, including one lethal outcome in Lithuania between 2004 and 2013. In the  severe case, fatigue, na...

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Bibliographic Details
Main Authors: Gabija Laubner, Gabija Mikulevičienė
Format: Article
Language:English
Published: Vilnius University Press 2016-11-01
Series:Acta Medica Lituanica
Subjects:
Online Access:https://www.journals.vu.lt/AML/article/view/21356
Description
Summary:Tricholoma equestre (hereinafter  –  T. equestre) is a  common edible fungus that is considered to be toxic under certain conditions. Here, we report four cases of acute poisoning caused by T. equestre, including one lethal outcome in Lithuania between 2004 and 2013. In the  severe case, fatigue, nausea without vomiting and muscle pain, profuse sweating without fever, and respiratory insufficiency occurred. Laboratory tests showed an elevation of creatine kinase (CK), aspartate aminotransferase (AST), and alanine aminotransferase (ALT). Although clinical findings and laboratory tests support evidence of rhabdomyolysis, no renal insufficiency was observed. Significance of T. equestre in cardiac changes is feasible but remains unclear.
ISSN:1392-0138
2029-4174