Citation

Kaneko H, Tomomasa T, Inoue Y, Kunimoto F, Fukusato T, Muraoka S, Gonmori K, Matsumoto T, Morikawa A. J. Toxicol. Clin. Toxicol. 2001; 39(4): 413-416.

Affiliation

Department of Pediatrics, Gunma University School of Medicine, Maebashi, Japan. hkaneko@showa.gunma-u.ac.jp

Copyright

(Copyright © 2001, Marcel Dekker)

DOI

unavailable

PMID

11527238

Abstract

BACKGROUND: Although some Japanese Galerina species poisonings manifest as gastrointestinal symptoms followed by late-onset hepatorenal failure (phalloides syndrome), the toxin responsible for this has not been determined. CASE REPORT: We report a 6-year-old boy who developed characteristic cholera-like diarrhea and late-onset severe hepatic deterioration after eating mushrooms, later identified as a Galerina species, most likely Galerina fasciculata. A residual mushroom revealed alpha-amanitin. This account is the first known reported case of poisoning by Japanese Galerina species where an amatoxin was demonstrated to be responsible for the toxicity.

Language: en