Allergy Asthma Respir Dis.  2015 Jan;3(1):82-85. 10.4168/aard.2015.3.1.82.

Anaphylaxis following mushrooms ingestion

• Seo DH
• Lee YS
• Ban GY
• Yoon MG
• Kim JH
• Shin YS
• Park HS
• Ye YM

• KMID: 2262284
• DOI: http://doi.org/10.4168/aard.2015.3.1.82

Abstract

Various foods can induce anaphylaxis. However, mushrooms-induced anaphylaxis has not been reported in Korea. We report a patient with past anaphylactic episode caused by mushroom ingestion, confirmed by the skin test and specific IgE antibody to mushrooms. A 17-year-old girl with asthma was referred to our department due to itchy throat, dyspnea, and urticaria within 10 minutes after ingestion of a soup containing Oyster mushrooms. She presented an itching throat after ingestion of cooked mushrooms 3 years before the visit. She had an elevated serum IgE level (205 kU/L) and was sensitized to house dust mites. Skin prick tests with mushroom extracts showed a strong positive on Oyster and King Oyster mushrooms as well as Pyogo mushroom. The specific IgE antibody to each mushroom measured by enzyme-linked immunosorbent assay showed significant positive results to Oyster and Pyogo mushroom extracts, but was negative on King Oyster mushroom. We educated her to avoid eating Oyster and Pyogo mushrooms for preventing recurrence, whereas we couldn't perform oral challenge tests.

Keyword

Anaphylaxis; Mushroom; Skin test; Specific IgE

MeSH Terms

Adolescent
Agaricales*
Anaphylaxis*
Asthma
Dyspnea
Eating*
Enzyme-Linked Immunosorbent Assay
Female
Humans
Immunoglobulin E
Korea
Ostreidae
Pharynx
Pleurotus
Pruritus
Pyroglyphidae
Recurrence
Skin
Skin Tests
Urticaria
Immunoglobulin E

Figure

• 

  Fig. 1 The result of skin prick test to each extract of mushrooms.

• 

  Fig. 2 The result of enzyme linked immunosorbent assay to detect specific IgE antibodies to Oyster mushroom (Pleurotus) and Pyogo mushroom (Lentinula edodes) in the sera from the patient and 20 normal controls (NCs).

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