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Just the Facts: Management of cyclopeptide mushroom ingestion
被引：1
|作者：
Connors, Nicholas J.
[1
]
Hoffman, Robert S.
[2
]
Gosselin, Sophie
[3
,4
,5
]
机构：
[1] Palmetto Poison Ctr, Columbia, SC USA
[2] NYU, Sch Med, Ronald O Perelman Ctr Emergency Serv, Div Med Toxicol, New York, NY USA
[3] McGill Univ, Dept Emergency Med, Montreal, PQ, Canada
[4] Ctr Antipoison Quebec, Quebec City, PQ, Canada
[5] CISSS Monteregie Ctr, Dept Med Urgence, Greenfield Pk, PQ, Canada
关键词：
Amatoxin;
cyclopeptide;
mushroom;
D O I：
10.1017/cem.2020.350
中图分类号：
R4 [临床医学];
学科分类号：
1002 ;
100602 ;
摘要：
A 54-year-old woman prepares dinner around 8:00 pm that includes mushrooms that she picked from her yard. The next morning, around 8:00 am, the woman (patient), her daughter, and son-in-law all develop abdominal cramps, violent vomiting, and diarrhea. They present to the emergency department and are admitted for dehydration and intractable vomiting with a presumed diagnosis of food poisoning. Twenty-four hours later, they appear well with stable vital signs and improved symptoms. Four hours later, 36 hours post-ingestion, the patient becomes lethargic. A venous blood gas reveals pH, 7.1; PCO2, 16 mmHg; and her AST was 3140 units/L with an ALT of 4260 units/L and an INR of 3.7.
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页码：644 / 647
页数：4
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