Yıl: 2018 Cilt: 25 Sayı: 3 Sayfa Aralığı: 427 - 429 Metin Dili: İngilizce DOI: 10.5505/vtd.2018.09821 İndeks Tarihi: 23-02-2020

Mushroom Poisoning Imitating Stroke. Report of a Case and Review of the Literature

Öz:
Mushroom poisoning has an important place in thepoisonings applied to emergency department (ED).Patients may present with different toxoids according tothe fungus and toxin fecalin. Pantherina syndrome is atablature that can interfere with cerebrovascular diseasesdue to clinical presentation. Three patients from thesame family were admitted to our ED with newlydeveloped symptoms of confusion, aphasia andmydriasis. When the first patient was evaluated, thediagnosis of hypertensive encephalopathy was firstconsidered with the current symptoms. However, afterthe application of the second and third patients withsimilar symptoms, the anamnesis was deepened and thestory of eating a mushroom was questioned. Patients aretreated in the emergency ICU. Two patients recoveredwithin 24 hours, and the symptoms of one patientcontinued for up to 72 hours. Pantherina syndrome is atoxicoma characterized by early onset, confusion,neurological symptoms such as aphasia and mydriasis.Treatment is generally supportive treatment. Stomachlavage and activated charcoal will be useful in the earlyperiod. Benzodiazepines can be used in extremeagitation. Pantherina syndrome is one of the diagnosesthat clinicians should actually have in patients presentingwith an acute confusional condition.
Anahtar Kelime:

Strok’u Taklit Eden Mantar Zehirlenmesi. Olgu Sunumu ve Literatürün Gözden Geçirilmesi

Öz:
Mantar zehirlenmeleri günlük acil servis pratik uygulamasında zehirlenmeler içinde önemli bir yere sahiptir. Hastalar mantara ve toksinin türüne göre farklı klinik tablolar ile hastaneye başvurabilirler. Pantherina sendromu, serebrovasküler hastalıklarla k arışabilen bir klinik tablodur. Aynı aileden üç hasta, yeni gelişen bilinç bulanıklığı, afazi ve midriyazis belirtileri ile acil servise başvurdu. İlk hasta değerlendirildiğinde, mevcut semptomlarla birlikte hipertansif ensefalopati tanısı konuldu. Bununla birlikte, benzer semptomlara sahip ikinci ve üçüncü hastada anamnezin derinleştirilmesi ile mantar yemekten kuşkulanıldı. Hastalar acil yoğun bakım ünitesinde tedavi edildi. İki hasta 24 saat içinde düzeldi ve bir hastanın semptomları 72 saate kadar devam etti. Pantherina sendromu erken başlangıçlı, konfüzyon, afazi ve midriyaz gibi nörolojik semptomlarla karakterize bir klinik durumdur. Tedavi genellikle destek tedavisidir. Mide yıkama ve aktif kömür erken dönemde faydalı olacaktır. Benzodiazepinler aşırı ajitasyon durumunda kullanılabilir. Pantherina sendromu, akut konfüzyonel bir durumla başvuran hastalarda klinisyenlerin düşünmesi gereken tanılardan biridir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
  • Nurhan Ö. Ulusal Zehir Danışma Merkezi 2008 Yılı Çalışma Raporu. Türk Hijyen ve Deneysel Biyoloji Dergisi 2009; 3: 29-58.
  • Bronstein AC, Spyker DA, Cantilena LR Jr, Rumack BH, Dart RC. 2011 Annual report of the American Association of Poison Control Centers' National Poison Data System (NPDS): 29th Annual Report. Clin Toxicol (Phila) 2012; 50(10): 911-1164.
  • Diaz JH. Syndromic diagnosis and management of confirmed mushroom poisonings. Crit Care Med 2005; 33(2): 427-436.
  • Yardan T, Eden A, Baydın A, Arslan B, Vural K. Mantar zehirlenmeleri. OMÜ Tıp Dergisi 2008; 25: 75-83.
  • Goldfrank L. Goldfrank’s toxicologic emergencys 9th edition. McGrawHill 2011.
  • Garcia J, Costa M, Costa A, Andrade S, Carneiro AC, Conceiceao F, et al.Co-ingestion of amatoxins and isoxazoles-containing mushrooms and successful treatment: A case report. Toxicon 2015; 103: 55-59.
  • Satora L, Pach D, Ciszowski K, Winnik L. Panther cap Amanita pantherina poisoning case report and rewiew. Toxicon 2006; 47(5): 605-607.
  • Durukan P, Yildiz M, Cevik Y, Ikizceli I, Kavalci C, Celebi S. Poisoning from wild mushrooms in eastern Anatolia region: analyses of 5 years. Human and Experimental Toxicology 2007; 26(7): 579-582.
  • Varvenne D, Retornaz K, Metge P, De Haro L, Minodier P. Amatoxin-containing mushroom (lepiotta brunneincarnata) familial poisoning. Pediatric Emergency Care 2015; 31(4): 277-278.
  • Yıldırım C, Celik GK, Haydar GC, Gunaydın GP, Otal Y, Özhasenekler A. Mushroom poisoning with symptoms of pantherina syndrome: a case report. Journal of Emergency Medicine Case Reports 2016. DOI: 10.5152/jemcr.2016.1368.
APA ŞENGÜLDÜR E, AKSOY İ, KATI C, YARDAN T, BAYDIN A (2018). Mushroom Poisoning Imitating Stroke. Report of a Case and Review of the Literature. , 427 - 429. 10.5505/vtd.2018.09821
Chicago ŞENGÜLDÜR Erdinç,AKSOY İskender,KATI CELAL,YARDAN Türker,BAYDIN Ahmet Mushroom Poisoning Imitating Stroke. Report of a Case and Review of the Literature. (2018): 427 - 429. 10.5505/vtd.2018.09821
MLA ŞENGÜLDÜR Erdinç,AKSOY İskender,KATI CELAL,YARDAN Türker,BAYDIN Ahmet Mushroom Poisoning Imitating Stroke. Report of a Case and Review of the Literature. , 2018, ss.427 - 429. 10.5505/vtd.2018.09821
AMA ŞENGÜLDÜR E,AKSOY İ,KATI C,YARDAN T,BAYDIN A Mushroom Poisoning Imitating Stroke. Report of a Case and Review of the Literature. . 2018; 427 - 429. 10.5505/vtd.2018.09821
Vancouver ŞENGÜLDÜR E,AKSOY İ,KATI C,YARDAN T,BAYDIN A Mushroom Poisoning Imitating Stroke. Report of a Case and Review of the Literature. . 2018; 427 - 429. 10.5505/vtd.2018.09821
IEEE ŞENGÜLDÜR E,AKSOY İ,KATI C,YARDAN T,BAYDIN A "Mushroom Poisoning Imitating Stroke. Report of a Case and Review of the Literature." , ss.427 - 429, 2018. 10.5505/vtd.2018.09821
ISNAD ŞENGÜLDÜR, Erdinç vd. "Mushroom Poisoning Imitating Stroke. Report of a Case and Review of the Literature". (2018), 427-429. https://doi.org/10.5505/vtd.2018.09821
APA ŞENGÜLDÜR E, AKSOY İ, KATI C, YARDAN T, BAYDIN A (2018). Mushroom Poisoning Imitating Stroke. Report of a Case and Review of the Literature. Van Tıp Dergisi, 25(3), 427 - 429. 10.5505/vtd.2018.09821
Chicago ŞENGÜLDÜR Erdinç,AKSOY İskender,KATI CELAL,YARDAN Türker,BAYDIN Ahmet Mushroom Poisoning Imitating Stroke. Report of a Case and Review of the Literature. Van Tıp Dergisi 25, no.3 (2018): 427 - 429. 10.5505/vtd.2018.09821
MLA ŞENGÜLDÜR Erdinç,AKSOY İskender,KATI CELAL,YARDAN Türker,BAYDIN Ahmet Mushroom Poisoning Imitating Stroke. Report of a Case and Review of the Literature. Van Tıp Dergisi, vol.25, no.3, 2018, ss.427 - 429. 10.5505/vtd.2018.09821
AMA ŞENGÜLDÜR E,AKSOY İ,KATI C,YARDAN T,BAYDIN A Mushroom Poisoning Imitating Stroke. Report of a Case and Review of the Literature. Van Tıp Dergisi. 2018; 25(3): 427 - 429. 10.5505/vtd.2018.09821
Vancouver ŞENGÜLDÜR E,AKSOY İ,KATI C,YARDAN T,BAYDIN A Mushroom Poisoning Imitating Stroke. Report of a Case and Review of the Literature. Van Tıp Dergisi. 2018; 25(3): 427 - 429. 10.5505/vtd.2018.09821
IEEE ŞENGÜLDÜR E,AKSOY İ,KATI C,YARDAN T,BAYDIN A "Mushroom Poisoning Imitating Stroke. Report of a Case and Review of the Literature." Van Tıp Dergisi, 25, ss.427 - 429, 2018. 10.5505/vtd.2018.09821
ISNAD ŞENGÜLDÜR, Erdinç vd. "Mushroom Poisoning Imitating Stroke. Report of a Case and Review of the Literature". Van Tıp Dergisi 25/3 (2018), 427-429. https://doi.org/10.5505/vtd.2018.09821