Mycotoxins revisited: Part II

Mushrooms are ubiquitous in nature. They are an important source of nutrition, however, certain varieties contain chemicals that can be highly toxic to humans. Industrially cultivated mushrooms are historically very safe, whereas foraging for mushrooms or accidental ingestion of mushrooms in the env...

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Published inThe Journal of emergency medicine Vol. 28; no. 2; pp. 175 - 183
Main Authors Berger, Kyan J., Guss, David A.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.02.2005
Subjects
2,2'-Dipyridyl - analogs & derivatives
2,2'-Dipyridyl - poisoning
Adult
amanita
Child
cyclopeptide
Disulfiram - poisoning
Emergency Medicine - methods
Enzyme Inhibitors - poisoning
Gastroenteritis - chemically induced
Hallucinogens - poisoning
Humans
indoles
Indoles - poisoning
Irritants - poisoning
isoxazoles
Isoxazoles - poisoning
monomethylhydrazine
Monomethylhydrazine - poisoning
Muscarine - poisoning
mushroom
Mushroom Poisoning - diagnosis
Mushroom Poisoning - therapy
mycotoxins
Mycotoxins - poisoning
orellanine
monomethylhydrazine
indoles
mycotoxins
cyclopeptide
amanita
isoxazoles
mushroom
orellanine
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Abstract Mushrooms are ubiquitous in nature. They are an important source of nutrition, however, certain varieties contain chemicals that can be highly toxic to humans. Industrially cultivated mushrooms are historically very safe, whereas foraging for mushrooms or accidental ingestion of mushrooms in the environment can result in serious illness and death. The emergency department is the most common site of presentation for patients suffering from acute mushroom poisoning. Although recognition can be facilitated by identification of a characteristic toxidrome, the presenting manifestations can be variable and have considerable overlap with more common and generally benign clinical syndromes. The goal of this two-part article is to review the knowledge base on this subject and provide information that will assist the clinician in the early consideration, diagnosis and treatment of mushroom poisoning. Part I reviewed the epidemiology and demographics of mushroom poisoning, the physical characteristics of the most toxic varieties, the classification of the toxic species, and presented an overview of the cyclopeptide-containing mushroom class. Part II is focused on the presentation of the other classes of toxic mushrooms along with an up-to-date review of the most recently identified poisonous varieties.
AbstractList Mushrooms are ubiquitous in nature. They are an important source of nutrition, however, certain varieties contain chemicals that can be highly toxic to humans. Industrially cultivated mushrooms are historically very safe, whereas foraging for mushrooms or accidental ingestion of mushrooms in the environment can result in serious illness and death. The emergency department is the most common site of presentation for patients suffering from acute mushroom poisoning. Although recognition can be facilitated by identification of a characteristic toxidrome, the presenting manifestations can be variable and have considerable overlap with more common and generally benign clinical syndromes. The goal of this two-part article is to review the knowledge base on this subject and provide information that will assist the clinician in the early consideration, diagnosis and treatment of mushroom poisoning. Part I reviewed the epidemiology and demographics of mushroom poisoning, the physical characteristics of the most toxic varieties, the classification of the toxic species, and presented an overview of the cyclopeptide-containing mushroom class. Part II is focused on the presentation of the other classes of toxic mushrooms along with an up-to-date review of the most recently identified poisonous varieties.
Mushrooms are ubiquitous in nature. They are an important source of nutrition, however, certain varieties contain chemicals that can be highly toxic to humans. Industrially cultivated mushrooms are historically very safe, whereas foraging for mushrooms or accidental ingestion of mushrooms in the environment can result in serious illness and death. The emergency department is the most common site of presentation for patients suffering from acute mushroom poisoning. Although recognition can be facilitated by identification of a characteristic toxidrome, the presenting manifestations can be variable and have considerable overlap with more common and generally benign clinical syndromes. The goal of this two-part article is to review the knowledge base on this subject and provide information that will assist the clinician in the early consideration, diagnosis and treatment of mushroom poisoning. Part I reviewed the epidemiology and demographics of mushroom poisoning, the physical characteristics of the most toxic varieties, the classification of the toxic species, and presented an overview of the cyclopeptide-containing mushroom class. Part II is focused on the presentation of the other classes of toxic mushrooms along with an up-to-date review of the most recently identified poisonous varieties.Mushrooms are ubiquitous in nature. They are an important source of nutrition, however, certain varieties contain chemicals that can be highly toxic to humans. Industrially cultivated mushrooms are historically very safe, whereas foraging for mushrooms or accidental ingestion of mushrooms in the environment can result in serious illness and death. The emergency department is the most common site of presentation for patients suffering from acute mushroom poisoning. Although recognition can be facilitated by identification of a characteristic toxidrome, the presenting manifestations can be variable and have considerable overlap with more common and generally benign clinical syndromes. The goal of this two-part article is to review the knowledge base on this subject and provide information that will assist the clinician in the early consideration, diagnosis and treatment of mushroom poisoning. Part I reviewed the epidemiology and demographics of mushroom poisoning, the physical characteristics of the most toxic varieties, the classification of the toxic species, and presented an overview of the cyclopeptide-containing mushroom class. Part II is focused on the presentation of the other classes of toxic mushrooms along with an up-to-date review of the most recently identified poisonous varieties.
Author Guss, David A.
Berger, Kyan J.
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Issue 2
Keywords monomethylhydrazine
indoles
mycotoxins
cyclopeptide
amanita
isoxazoles
mushroom
orellanine
Language English
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Snippet Mushrooms are ubiquitous in nature. They are an important source of nutrition, however, certain varieties contain chemicals that can be highly toxic to humans....
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SubjectTerms 2,2'-Dipyridyl - analogs & derivatives
2,2'-Dipyridyl - poisoning
Adult
amanita
Child
cyclopeptide
Disulfiram - poisoning
Emergency Medicine - methods
Enzyme Inhibitors - poisoning
Gastroenteritis - chemically induced
Hallucinogens - poisoning
Humans
indoles
Indoles - poisoning
Irritants - poisoning
isoxazoles
Isoxazoles - poisoning
monomethylhydrazine
Monomethylhydrazine - poisoning
Muscarine - poisoning
mushroom
Mushroom Poisoning - diagnosis
Mushroom Poisoning - therapy
mycotoxins
Mycotoxins - poisoning
orellanine
Title Mycotoxins revisited: Part II
URI https://www.clinicalkey.com/#!/content/1-s2.0-S0736467904003300
https://dx.doi.org/10.1016/j.jemermed.2004.08.019
https://www.ncbi.nlm.nih.gov/pubmed/15707814
https://www.proquest.com/docview/17831416
https://www.proquest.com/docview/67427686
Volume 28
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