TY - JOUR PY - 2020// TI - Low-cost management of mushroom poisoning in a limited-resource area: a 12-year retrospective study JO - Tropical doctor A1 - Jongthun, Ratsameekhae A1 - Hemachudha, Pasin A1 - Wacharapluesadee, Supaporn A1 - Hemachudha, Thiravat SP - ePub EP - ePub VL - ePub IS - ePub N2 - 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.
Language: en
LA - en SN - 0049-4755 UR - http://dx.doi.org/10.1177/0049475519897704 ID - ref1 ER -