Dynamic myocardial injury and variable hallucination latency in Psilocybe keralensis poisoning: a molecularly confirmed case series from China
Clinical Toxicology September 15, 2025 Zhifan He, Rui Tang, Min Feng et al. 1 citation
Four patients in Chengdu, China, were poisoned after eating 16–90 g of wild mushrooms misidentified as edible but later confirmed as Psilocybe keralensis. Symptoms began within 5–20 minutes, with hallucinations starting between 10 and 180 minutes. All developed hypertension, one with a rapid rise to 182/110 mmHg and evidence of myocardial injury (peak cardiac troponin T 188.70 pg/mL) and transient skeletal muscle involvement. Supportive treatment led to full recovery. The authors note that altered myocardial biomarkers signal potential cardiovascular risks and recommend cardiac monitoring for high-risk patients in future psilocybin research, and that wild mushroom foraging should be avoided.