
@article{ref1,
title="Low-cost management of mushroom poisoning in a limited-resource area: a 12-year retrospective study",
journal="Tropical doctor",
year="2020",
author="Jongthun, Ratsameekhae and Hemachudha, Pasin and Wacharapluesadee, Supaporn and Hemachudha, Thiravat",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Amatoxin poisoning is the main cause of death from accidental ingestion of poisonous mushrooms and a mortality rate of 27.3% has been reported in Thailand. Symptoms of mushroom ingestion are often confused with food poisoning; thus, gastroenteritis is not recognised as the first phase of poisoning. Our study assessed the efficacy of N-acetylcysteine (NAC) as a treatment for amatoxin poisoning. We retrospectively analysed 74 medical records over 12 years. The majority (70/74) were treated successfully with NAC; death in the remaining 4 (5.4%) patients was attributed to late presentation in three and advanced alcoholic cirrhosis in one.<p /> <p>Language: en</p>",
language="en",
issn="0049-4755",
doi="10.1177/0049475519897704",
url="http://dx.doi.org/10.1177/0049475519897704"
}