Speaking to Thanh Nien on the evening of June 14, Dr. Le Quoc Hung, Head of the Department of Tropical Diseases, Cho Ray Hospital (HCMC), said that the toxin in the mushroom poisoning case in Tay Ninh was identified as belonging to the Amanitin toxin group.
"This group is very toxic, destroys the liver quickly, and causes a high mortality rate despite the application of many active treatment methods," Dr. Hung analyzed.
According to Dr. Hung, because there are no more mushroom samples, the determination of the toxin depends on the progression of the disease, and then we have to find a way to get mushroom samples locally for testing. However, because the patient's family picked many different types of mushrooms, it is not possible to determine exactly which type of poisonous mushroom the family ate.
Amanita phalloides is a poisonous mushroom in the Amanita group that can cause death.
According to the National Center for Biotechnology Information (USA), 95% of deaths due to mushroom consumption worldwide are due to mushrooms containing amatoxin. Amatoxins interfere with protein synthesis and cause severe liver failure in patients, leading to a high risk of death.
Mushrooms of the Amanita group have no distinct taste or smell but typically grow to between 5 cm and 15 cm in size and are often difficult to distinguish in color or appearance from edible species.
Amanita toxin poisoning has three stages.
The first stage is 6-12 hours after eating. For at least the first 6 hours, the person who eats usually has no symptoms. After this stage, the patient begins to feel nauseous, has abdominal cramps, has watery diarrhea, and shows signs of dehydration. If examined, the patient will have low blood pressure, dry mucous membranes, and a rapid heart rate, and the body is dehydrated.
The second phase occurs when the patient appears to recover temporarily and the initial symptoms resolve, but liver damage persists. This phase can last 2-3 days and is characterized by elevated liver function transaminases, bilirubin, increased coagulopathy, and eventually progressive hepatic encephalopathy.
In stage 3 , both liver and kidney function are damaged. Hepatorenal syndrome and hepatic encephalopathy can occur rapidly after tests show severe liver damage, and death can occur after 3-7 days.
* Previously, on June 6, information from Cho Ray Hospital said that 3 people in a family in Tay Ninh were admitted to the emergency room in critical condition. Medical history showed that about 3-4 days before being admitted to the hospital, the patient and his wife picked mushrooms and brought them home to stir-fry with squash. After eating about 8-12 hours, the husband, wife, and daughter suffered from stomachaches, vomiting, and diarrhea, and their condition became increasingly worse. The family was transferred to a local hospital and then to a hospital in Ho Chi Minh City.
The husband, during the transfer to the hospital, had difficulty breathing and respiratory failure, and was intubated and given a balloon pump. However, he died in the Emergency Department of Cho Ray Hospital. After a period of treatment for liver dysfunction and blood clotting disorder, the wife asked to go home and died. The 17-year-old daughter's health improved after a period of treatment.
Source link
Comment (0)