A case of fulminant hepatitis caused by "Amanita toxin" poisoning.

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A 45-year-old man was suffered from diarrhea and abdominal pain 7 hours after consuming approximately 70 g of Amanita virosa, "field mushrooms".<BR>His consciuousness was clear when he was referred to our hospital 5 day after the onset of the symptoms, but his liver function tests revealed severe liver damage.<BR>On the 9th hospital day conscious level fell down and he was diagnosed as having fulminant hepatitis due to Amanita toxin poisoning.<BR>Vigorous treatment, including plasma exchange, direct hemoperfusion, corticosteroid, fructosemanitol solusion, and special amino acid solusion was successful in reversing the comatose state and liver function to normal level.<BR>In Japan Amanita toxin poisoning is very rare and this paper is the first case report of fulminant hepatitis due to Amanita poisoning.
社団法人日本肝臓学会の論文