Wild mushroom exposures in Kansas, 2013–2018
AbstractBackground Mushrooms exposures are uncommon, difficult to characterize, and occasionally cause serious morbidity and mortality. We describe mushroom exposures reported to the Kansas Poison Control Center (KSPCC).Methods We queried the KSPCC database for all mushroom exposures from 1 January...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2021-11-01
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| Series: | Toxicology Communications |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/24734306.2021.1893972 |
| _version_ | 1797300158731386880 |
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| author | Sam Wagner Stephen Thornton Lisa Oller Michelle Wilson Michael Hudson |
| author_facet | Sam Wagner Stephen Thornton Lisa Oller Michelle Wilson Michael Hudson |
| author_sort | Sam Wagner |
| collection | DOAJ |
| description | AbstractBackground Mushrooms exposures are uncommon, difficult to characterize, and occasionally cause serious morbidity and mortality. We describe mushroom exposures reported to the Kansas Poison Control Center (KSPCC).Methods We queried the KSPCC database for all mushroom exposures from 1 January 2013 to 31 December 2018. We abstracted age, sex, exposure date, reason, management site, laboratory values, medical outcome, GI symptoms, interventions, mycologist consultation, presence of mushroom picture, and identification of the mushroom.Results We identified 441 cases. Typical cases were young children with exploratory ingestion in summer managed at home (279) with no clinical effect (257). Vomiting or diarrhea occurred in 135 cases. Treatments included either no intervention or PO liquids (304), IV fluids (76), anti-emetics (59), or N-acetylcysteine (5). AST was normal in 52 of 55 cases. CPK was high in 3 of 7 patients. Care included hospital admission (56) including ICU in nine. There were no deaths. Most frequently identified were Chlorophyllum (29) and Psilocybe sp. (13).Conclusions Mushroom exposures reported to KPCC were most common in summer months and typically involved unintentional exposures in young children. Vomiting and diarrhea occurred in approximately one-third of cases. Morbidity was minimal. No deaths occurred. In most cases, the mushroom was never identified. |
| first_indexed | 2024-03-07T23:03:13Z |
| format | Article |
| id | doaj.art-7a5642d264344b23be0adcb7d15bb028 |
| institution | Directory Open Access Journal |
| issn | 2473-4306 |
| language | English |
| last_indexed | 2024-03-07T23:03:13Z |
| publishDate | 2021-11-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Toxicology Communications |
| spelling | doaj.art-7a5642d264344b23be0adcb7d15bb0282024-02-22T09:16:09ZengTaylor & Francis GroupToxicology Communications2473-43062021-11-0151768110.1080/24734306.2021.1893972Wild mushroom exposures in Kansas, 2013–2018Sam Wagner0Stephen Thornton1Lisa Oller2Michelle Wilson3Michael Hudson4Department of Emergency Medicine, University of California San Francisco, San Francisco, CA, USADepartment of Emergency Medicine, University of Kansas Medical Center, Kansas City, KS, USADepartment of Emergency Medicine, University of Kansas Medical Center, Kansas City, KS, USADepartment of Emergency Medicine, University of Kansas Medical Center, Kansas City, KS, USADepartment of Emergency Medicine, University of Kansas Medical Center, Kansas City, KS, USAAbstractBackground Mushrooms exposures are uncommon, difficult to characterize, and occasionally cause serious morbidity and mortality. We describe mushroom exposures reported to the Kansas Poison Control Center (KSPCC).Methods We queried the KSPCC database for all mushroom exposures from 1 January 2013 to 31 December 2018. We abstracted age, sex, exposure date, reason, management site, laboratory values, medical outcome, GI symptoms, interventions, mycologist consultation, presence of mushroom picture, and identification of the mushroom.Results We identified 441 cases. Typical cases were young children with exploratory ingestion in summer managed at home (279) with no clinical effect (257). Vomiting or diarrhea occurred in 135 cases. Treatments included either no intervention or PO liquids (304), IV fluids (76), anti-emetics (59), or N-acetylcysteine (5). AST was normal in 52 of 55 cases. CPK was high in 3 of 7 patients. Care included hospital admission (56) including ICU in nine. There were no deaths. Most frequently identified were Chlorophyllum (29) and Psilocybe sp. (13).Conclusions Mushroom exposures reported to KPCC were most common in summer months and typically involved unintentional exposures in young children. Vomiting and diarrhea occurred in approximately one-third of cases. Morbidity was minimal. No deaths occurred. In most cases, the mushroom was never identified.https://www.tandfonline.com/doi/10.1080/24734306.2021.1893972MushroomMidwestKansaspoison control |
| spellingShingle | Sam Wagner Stephen Thornton Lisa Oller Michelle Wilson Michael Hudson Wild mushroom exposures in Kansas, 2013–2018 Toxicology Communications Mushroom Midwest Kansas poison control |
| title | Wild mushroom exposures in Kansas, 2013–2018 |
| title_full | Wild mushroom exposures in Kansas, 2013–2018 |
| title_fullStr | Wild mushroom exposures in Kansas, 2013–2018 |
| title_full_unstemmed | Wild mushroom exposures in Kansas, 2013–2018 |
| title_short | Wild mushroom exposures in Kansas, 2013–2018 |
| title_sort | wild mushroom exposures in kansas 2013 2018 |
| topic | Mushroom Midwest Kansas poison control |
| url | https://www.tandfonline.com/doi/10.1080/24734306.2021.1893972 |
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