, Volume 105, Issue 2, pp 99–110

Hepatotoxic mushroom poisoning: diagnosis and management

  • Josep Piqueras

DOI: 10.1007/BF00444032

Cite this article as:
Piqueras, J. Mycopathologia (1989) 105: 99. doi:10.1007/BF00444032


Hepatotoxic mushroom poisoning (due to Amanita, Lepiota and Galerina species) may be considered as a real medical emergency, since an early diagnosis and immediate treatment are required for a successful outcome. In this review the physio-pathological features and the clinical picture of amatoxin poisonings are described, as the basis for diagnosis and therapeutic decisions. The treatment schedule proposed is analyzed in some points: Symptomatic and supportive measures, toxin removal and extraction procedures, and the possibility of using antidotes. Some parameters with prognostic significance are commented on. Finally, the mortality rate and its evolution throughout the present century is also considered.

Key words

Amanita phalloidesamatoxinsdiagnosislepiotamushroom poisoningtreatment

Copyright information

© Kluwer Academic Publishers 1989

Authors and Affiliations

  • Josep Piqueras
    • 1
  1. 1.Department of Hematology and HemotherapyHospital General ‘Vall d'Hebrón’BarcelonaSpain