Crotinarius mushrooms: Difference between revisions
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*C. orellanus or C. speciosissimus in Europe | *C. orellanus or C. speciosissimus in Europe | ||
==Clinical | ==Clinical Features== | ||
*Headache, chills, malaise, nausea and vomiting over days | *Headache, chills, malaise, nausea and vomiting over days | ||
*Can see delayed renal failure 1-3 weeks after exposure | *Can see delayed renal failure 1-3 weeks after exposure | ||
==Workup== | ==Differential Diagnosis== | ||
*Urinalysis with microscopy | {{Mushroom toxicity DDX}} | ||
==Evaluation== | |||
===Workup=== | |||
*[[Urinalysis]] with microscopy | |||
*Urine electrolytes | *Urine electrolytes | ||
*Urine eosinophils | *Urine eosinophils | ||
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*If renal failure from mushroom exposure, recovery can take several weeks | *If renal failure from mushroom exposure, recovery can take several weeks | ||
*May need temporary hemodialysis | *May need temporary hemodialysis | ||
==Disposition== | |||
==See Also== | ==See Also== | ||
Latest revision as of 00:33, 21 October 2018
Overview
- Contain toxin Orellanine
- Cortinarius rainierensis in America
- C. orellanus or C. speciosissimus in Europe
Clinical Features
- Headache, chills, malaise, nausea and vomiting over days
- Can see delayed renal failure 1-3 weeks after exposure
Differential Diagnosis
Mushroom toxicity by Type
| Mushroom | Toxin | Pathologic Effect |
| Amanita | Amatoxin | Hepatotoxicity |
| Coprine | Disulfiram-like | |
| Crotinarius | Orellanine | Delayed renal failure |
| Gyromitra | Gyromitrin | Seizures |
| Ibotenic Acid | Anticholinergic | |
| Muscarine | Cholinergic | |
| Orellanin | Nephrotoxicity | |
| Psilocybin | Hallucinations |
Evaluation
Workup
- Urinalysis with microscopy
- Urine electrolytes
- Urine eosinophils
Management
- Supportive
- If renal failure from mushroom exposure, recovery can take several weeks
- May need temporary hemodialysis
Disposition
See Also
References
- Diaz JH. Syndromic diagnosis and management of confirmed mushroom poisonings. Crit Care Med. 2005 Feb. 33(2):427-36.
- Karlson-Stiber C, Persson H: Cytotoxic fungi—An overview. Toxicon 2003; 42:339–349.
- Danel VC, Saviuc PF, Garon D: Main features of Cortinarius spp. poisoning: A literature review. Toxicon 2001; 39:1053–1060.