Species identification, poisoning symptoms and medical treatment of chlorophyllum molybdites
Haijiao Li, Chengye Sun, Li Qiao, Yizhe Zhang, Jian Sun, Hongshun Zhang, Jing Zhou, Xin Long, Peibin Ma
Published 2016-06-10
Cite as Chin J Emerg Med, 2016, 25(6): 739-743. DOI: 10.3760/cma.j.issn.1671-0282.2016.06.011
Abstract
ObjectiveTo study species identification, poisoning symptoms and medical treatment of chlorophyllum molybdites in order to provide a guideline and proper treatment.
MethodsBased on the data of epidemiological investigation, clinical treatment data and suspicious poisonous mushroom samples collected of present patients. The collected mushroom specimen was identified by morphological combined molecular methods, and the poisoning symptoms and medical treatment of C. molybdites were summarized systematically.
ResultsEpidemiological investigation showed that two patients ate some white wild mushrooms collected by themselves. About 4 h after mushroom eaten, they had nausea, vomiting, stomachache and diarrhea (watery). Glutamate-puruvate transaminase and serum glutamic-oxaloacetic transaminase in serum increased in one patient , and the other patient vomited a little faint blood fluid, followed by faint blood fluid and watery diarrhea on the second day. After treatment with adequate rehydration, corticosteroid, liver protection and anti-infection using penicillin, both patients recovered after 3 days. The mushroom eaten by the patients was C. molybdites, as evidenced by morphological and molecular analysis.
ConclusionsThe poisoning cases in the present study were caused by C. molybdites, confirmed by morphological and molecular analysis which is suitable for species identification. Chlorophyllum molybdites is a poisionous mushroom, whhich mainly causes digestive illness, and the illness is usually mild with short disease course.
Key words:
Poisonous mushrooms; Chlorophyllum molybdites; Species identification; Medical treatment
Contributor Information
Haijiao Li
National Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing 100050, China
Chengye Sun
National Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing 100050, China
Li Qiao
Jiangsu Province Hospital, The First affiliated Hospital with Nanjing Medical University, Nanjing 210029, China
Yizhe Zhang
National Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing 100050, China
Jian Sun
National Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing 100050, China
Hongshun Zhang
National Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing 100050, China
Jing Zhou
National Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing 100050, China
Xin Long
National Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing 100050, China
Peibin Ma
National Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing 100050, China
