Abstract
Mushroom poisoning has been a problem for many years, and its effects can be severe enough to cause organ failure and death. There are about 200-300 edible mushrooms, while 50-100 are considered poisonous. The toxicity status of some mushroom species has not been established. There are considerable variations in the incidence of mushroom poisoning across the world, depending on local traditions, lifestyle, climate and the types of wild mushrooms that are found. Most signs and symptoms of mushroom poisoning are mild to moderate gastrointestinal manifestations; such as nausea, vomiting, and diarrhea. Mushroom poisoning is a serious medical emergency that requires immediate attention and treatment. This is a case series of a family (4 people) presented with mushroom poisoning which has been picked up at their house lawn which was mistaken for edible "" cendawan busut"". A family consisting of 43 year old father and his three children age at 15, 11 and 8 years old. All of them resides in Precinct 11 Putrajaya, Malaysia and consumed wild mushrooms during breaking fast. Those mushrooms were plucked at their lawn and cooked by the mother as soup. The first onset was the 15 year old child whom experienced abdominal cramps, nausea, vomiting and diarrhea. The child had consumed the entire mushrooms while the others only took the soup. He was observed in the Emergency Department for a day. The other 3 cases experienced milder symptoms of nausea, vomiting and diarrhea, they were treated as outpatient care. Sample of the mushroom was sent to the Mushroom Research Centre, Universiti Malaya, Malaysia. The result revealed that the mushroom was Chlorophyllum molybdites which is a poisonous mushroom contains a wide variety of undetermined toxins (gastrointestinal irritants). Therefore no specific chemical analysis was able to be conducted. Ingestion may cause gastrointestinal distress after 30 to 90 minutes being eaten. Mushroom poisoning is not new in Malaysia, many studies have reported attending these cases in the hospital. Therefore we recommend that any cases with AGE symptoms should include mushroom poisoning as one of the differential diagnosis in view of its implications. The community should also be aware of toxic mushrooms and should not consume the wild mushrooms found in their area. Thus, community education should be done from time to time to ensure that the public is aware of poisonous mushrooms.
Links
- https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-P-4.pdf
- https://apcph.cphm.my/wp-content/uploads/wpforms/1176-1e04940bb5d885bf8711ed1909[...]
BibTeX (Download)
@proceedings{APCPH2022-P-4,
title = {A Case Series of Mushroom Poisoning in Putrajaya, Malaysia, 2021.},
author = {Azreena Che Abdullah and Zainal Abidin Bin Abu Bakar and Nur Sofiani Diana Mohammed Yusoff},
url = {https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-P-4.pdf
https://apcph.cphm.my/wp-content/uploads/wpforms/1176-1e04940bb5d885bf8711ed19095a89ed/E-POSTER-A-Case-Series-of-Mushroom-Poisoning-in-Putrajaya-2021-d579db8ffa7d60ec1a6088a06b2b732b.pdf},
year = {2022},
date = {2022-08-02},
urldate = {2022-08-02},
issue = {7},
abstract = {Mushroom poisoning has been a problem for many years, and its effects can be severe enough to cause organ failure and death. There are about 200-300 edible mushrooms, while 50-100 are considered poisonous. The toxicity status of some mushroom species has not been established. There are considerable variations in the incidence of mushroom poisoning across the world, depending on local traditions, lifestyle, climate and the types of wild mushrooms that are found. Most signs and symptoms of mushroom poisoning are mild to moderate gastrointestinal manifestations; such as nausea, vomiting, and diarrhea. Mushroom poisoning is a serious medical emergency that requires immediate attention and treatment. This is a case series of a family (4 people) presented with mushroom poisoning which has been picked up at their house lawn which was mistaken for edible "" cendawan busut"". A family consisting of 43 year old father and his three children age at 15, 11 and 8 years old. All of them resides in Precinct 11 Putrajaya, Malaysia and consumed wild mushrooms during breaking fast. Those mushrooms were plucked at their lawn and cooked by the mother as soup. The first onset was the 15 year old child whom experienced abdominal cramps, nausea, vomiting and diarrhea. The child had consumed the entire mushrooms while the others only took the soup. He was observed in the Emergency Department for a day. The other 3 cases experienced milder symptoms of nausea, vomiting and diarrhea, they were treated as outpatient care. Sample of the mushroom was sent to the Mushroom Research Centre, Universiti Malaya, Malaysia. The result revealed that the mushroom was Chlorophyllum molybdites which is a poisonous mushroom contains a wide variety of undetermined toxins (gastrointestinal irritants). Therefore no specific chemical analysis was able to be conducted. Ingestion may cause gastrointestinal distress after 30 to 90 minutes being eaten. Mushroom poisoning is not new in Malaysia, many studies have reported attending these cases in the hospital. Therefore we recommend that any cases with AGE symptoms should include mushroom poisoning as one of the differential diagnosis in view of its implications. The community should also be aware of toxic mushrooms and should not consume the wild mushrooms found in their area. Thus, community education should be done from time to time to ensure that the public is aware of poisonous mushrooms.},
howpublished = {published online at https://apcph.cphm.my},
note = {Type: POSTER PRESENTATION; Organisation: Pejabat Kesihatan WP Putrajaya},
keywords = {case series, Chlorophyllum molybdites, Malaysia, mushroom poisoning, Putrajaya},
pubstate = {published},
tppubtype = {proceedings}
}