Pilzvergiftungen – die Schattenseiten des Myzetismus
Therapeutische Umschau April 28, 2009 R Flammer, Katharina Schenk-Jäger 3 citations
Most mushroom poisonings cause vomiting and diarrhea within 12 hours. Cases with symptoms appearing after a long latency (8–18 hours) strongly suggest amatoxin poisoning, especially after eating wild mushrooms, though shorter latencies do not rule it out. Large meals, chitin-rich mushrooms, mixed meals, and individual factors can shorten latency. Any vomiting and diarrhea after mushroom consumption is suspicious. Unless an expert can identify the mushrooms within 30 minutes, specific amatoxin treatment should begin; starting treatment before analysis can keep mortality rates as low as 5%. Urine analysis for amatoxins is crucial. The text also covers early gastrointestinal syndrome, psychotropic symptoms from psilocybin mushrooms, and renal failure linked to orellanin-containing mushrooms.