Evaluation of Mushroom Poisoning Cases in Emergency Department in the Early and Late Period, 10-Year Observational Study

INTRODUCTION: Mushroom poisoning has seasonal characteristics and is an important health problem. A good outcome is expected in the early period(30min-6 hours). There is a high risk of serious complications in late symptoms (after 6 hours). We aim to evaluate the epidemiological evaluation of fungal...

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Main Authors: Nurdan Acar, Mustafa Emin Canakci
Format: Article
Language:English
Published: Ankara Yildirim Beyazit University 2020-09-01
Series:Ankara Medical Journal
Subjects:
Online Access:https://jag.journalagent.com/z4/download_fulltext.asp?pdir=amj&un=AMJ-48091
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author Nurdan Acar
Mustafa Emin Canakci
author_facet Nurdan Acar
Mustafa Emin Canakci
author_sort Nurdan Acar
collection DOAJ
description INTRODUCTION: Mushroom poisoning has seasonal characteristics and is an important health problem. A good outcome is expected in the early period(30min-6 hours). There is a high risk of serious complications in late symptoms (after 6 hours). We aim to evaluate the epidemiological evaluation of fungal poisoning in 10 years period and to investigate the difference between early and late poisonings and the factors that cause mortality and morbidity. METHODS: The data of patients aged 18 years and older who applied to the emergency department with mushroom poisoning between June 2011 and June 2020 were retrospectively evaluated. RESULTS: We evaluated 163 patients, and 90 (55.20%) patient were male. The median age of the patients was determined as 46.00 (33.00-58.00). Patients most often applied in June. 16 patients had dizziness, 14 had altered mental status. 58 (53.40%) of the patients had early poisoning. Early poisonings were mostly applied in spring, late poisonings in the autumn season. ALT was determined to be higher in the late poisoning group (p = 0.003). 61.80% of late poisonings and 35.60% of early poisonings were hospitalized (p = 0.005). Patients could be discharged, although 3 of late poisonings developed kidney failure and 1 had a resistant infective picture. DISCUSSION AND CONCLUSION: It is thought that mortality is reduced thanks to early diagnosis, easy access to the hospital, and improvements in treatment. In cases with nonspecific symptoms (such as nausea, sweating, change of consciousness), mushroom poisoning should be questioned.
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spelling doaj.art-5b3f54cb548547049e0589e3a4b2cce42023-02-15T16:20:25ZengAnkara Yildirim Beyazit UniversityAnkara Medical Journal2148-45702020-09-0120353154010.5505/amj.2020.48091AMJ-48091Evaluation of Mushroom Poisoning Cases in Emergency Department in the Early and Late Period, 10-Year Observational StudyNurdan Acar0Mustafa Emin Canakci1Department of Emergency Medicine, Eskişehir Osmangazi University, Eskişehir, TurkeyDepartment of Emergency Medicine, Eskişehir Osmangazi University, Eskişehir, TurkeyINTRODUCTION: Mushroom poisoning has seasonal characteristics and is an important health problem. A good outcome is expected in the early period(30min-6 hours). There is a high risk of serious complications in late symptoms (after 6 hours). We aim to evaluate the epidemiological evaluation of fungal poisoning in 10 years period and to investigate the difference between early and late poisonings and the factors that cause mortality and morbidity. METHODS: The data of patients aged 18 years and older who applied to the emergency department with mushroom poisoning between June 2011 and June 2020 were retrospectively evaluated. RESULTS: We evaluated 163 patients, and 90 (55.20%) patient were male. The median age of the patients was determined as 46.00 (33.00-58.00). Patients most often applied in June. 16 patients had dizziness, 14 had altered mental status. 58 (53.40%) of the patients had early poisoning. Early poisonings were mostly applied in spring, late poisonings in the autumn season. ALT was determined to be higher in the late poisoning group (p = 0.003). 61.80% of late poisonings and 35.60% of early poisonings were hospitalized (p = 0.005). Patients could be discharged, although 3 of late poisonings developed kidney failure and 1 had a resistant infective picture. DISCUSSION AND CONCLUSION: It is thought that mortality is reduced thanks to early diagnosis, easy access to the hospital, and improvements in treatment. In cases with nonspecific symptoms (such as nausea, sweating, change of consciousness), mushroom poisoning should be questioned.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=amj&un=AMJ-48091mushroompoisoningemergency department
spellingShingle Nurdan Acar
Mustafa Emin Canakci
Evaluation of Mushroom Poisoning Cases in Emergency Department in the Early and Late Period, 10-Year Observational Study
Ankara Medical Journal
mushroom
poisoning
emergency department
title Evaluation of Mushroom Poisoning Cases in Emergency Department in the Early and Late Period, 10-Year Observational Study
title_full Evaluation of Mushroom Poisoning Cases in Emergency Department in the Early and Late Period, 10-Year Observational Study
title_fullStr Evaluation of Mushroom Poisoning Cases in Emergency Department in the Early and Late Period, 10-Year Observational Study
title_full_unstemmed Evaluation of Mushroom Poisoning Cases in Emergency Department in the Early and Late Period, 10-Year Observational Study
title_short Evaluation of Mushroom Poisoning Cases in Emergency Department in the Early and Late Period, 10-Year Observational Study
title_sort evaluation of mushroom poisoning cases in emergency department in the early and late period 10 year observational study
topic mushroom
poisoning
emergency department
url https://jag.journalagent.com/z4/download_fulltext.asp?pdir=amj&un=AMJ-48091
work_keys_str_mv AT nurdanacar evaluationofmushroompoisoningcasesinemergencydepartmentintheearlyandlateperiod10yearobservationalstudy
AT mustafaemincanakci evaluationofmushroompoisoningcasesinemergencydepartmentintheearlyandlateperiod10yearobservationalstudy