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

  • 1Department of Internal Medicine, College of Medicine, Dankook University, Cheonan, Korea. jtcho@dankook.ac.kr


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.


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

MeSH Terms

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


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


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