J Korean Med Sci.  2016 Jul;31(7):1164-1167. 10.3346/jkms.2016.31.7.1164.

A Case of Mushroom Poisoning with Russula subnigricans: Development of Rhabdomyolysis, Acute Kidney Injury, Cardiogenic Shock, and Death

• Cho JT
• Han JH

• KMID: 2373739
• DOI: http://doi.org/10.3346/jkms.2016.31.7.1164

Abstract

Mushroom exposures are increasing worldwide. The incidence and fatality of mushroom poisoning are reported to be increasing. Several new syndromes in mushroom poisoning have been described. Rhabdomyolytic mushroom poisoning is one of new syndromes. Russula subnigricans mushroom can cause delayed-onset rhabdomyolysis with acute kidney injury in the severely poisoned patient. There are few reports on the toxicity of R. subnigricans. This report represents the first record of R. subnigricans poisoning with rhabdomyolysis in Korea, describing a 51-year-old man who suffered from rhabdomyolysis, acute kidney injury, severe hypocalcemia, respiratory failure, ventricular tachycardia, cardiogenic shock, and death. Mushroom poisoning should be considered in the evaluation of rhabdomyolysis of unknown cause. Furthermore, R. subnigricans should be considered in the mushroom poisoning with rhabdomyolysis.

Keyword

Mushroom Poisoning; Rhabdomyolysis; Acute Kidney Injury; Respiratory Failure; Cardiogenic Shock

MeSH Terms

Acute Kidney Injury/*etiology
Basidiomycota/isolation & purification/*pathogenicity
Electrocardiography
Heart Ventricles/physiopathology
Humans
Male
Middle Aged
Mushroom Poisoning/*diagnosis/microbiology/mortality
Rhabdomyolysis/*etiology
Shock, Cardiogenic/*etiology
Tachycardia, Ventricular/etiology

Figure

• 

  Fig. 1 Gross morphology of Russula subnigricans mushroom (A) and the leftover samples (B) of our case.

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