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

2016; Korean Academy of Medical Sciences; Volume: 31; Issue: 7 Linguagem: Inglês

10.3346/jkms.2016.31.7.1164

1598-6357

Jong Tae Cho, Jin Hyung Han,

Poisoning and overdose treatments

of Rhabdomyolysis, Acute Kidney Injury, Cardiogenic Shock, and Death 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.