Inocybe

Background

Inocybe geophylla
  • Genus of potentially poisonous mushroom
  • Many species contain muscarine, a toxin that causes cholinergic symptoms
  • Rare species contain the hallucinogenic psilocybin

Clinical Features

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

SLUDGE Syndrome


Evaluation

  • Clinical diagnosis
  • Evaluate for alternative etiology of symptoms

Management

  • Atropine PRN for muscarinic symptoms
  • Supportive care, benzos for unpleasant psilocybin symptoms

Disposition

See Also

External Links

References

Authors:

Claire