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J Korean Soc Emerg Med > Volume 24(4); 2013 > Article
Journal of The Korean Society of Emergency Medicine 2013;24(4): 469-472.
Mushroom Poisoning by Podostroma cornu-damae: A Case Report and Review of the Literature
Hyung Min Yu, Jiwan Kim, Seonghui Kang, Sanghee An, Chae Ho Lim, Hong Ghi Lee, Kyeong Ryong Lee
1Department of Internal Medicine, School of Medicine, Konkuk University Medical Center, Seoul, Korea.
2Department of Hematology, School of Medicine, Konkuk University Medical Center, Seoul, Korea.
3Department of Emergency Medicine, School of Medicine, Konkuk University Medical Center, Seoul, Korea. lkrer@kuh.ac.kr
ABSTRACT
Podostroma cornu-damae is a rare species of fungus belonging to the Hyocreaceae family. Its fruit body is highly toxic, as it contains trichothecene mycotoxins. Unfortunately, it highly resembles Ganoderma lucidum and Cordyceps, well-known health foods; this can lead to poisoning. We experienced such a case of a 42-year old man who received mushroom poisoning by injesting Podostroma cornu-damae. The patient was presented with severe pancytopenia and infection. The patient recovered without any complications after conservative care, antibiotics therapy, and granulocyte colony stimulating factor administration. The most common complications of podostroma cornu-damae intoxication were reported pancytopenia, infection, disseminated intravascular coagulation, acute renal failure, etc. It is important to provide enough fluid therapy, use of antibiotics to infection and granulocyte colony stimulating factor administration.
Key words: Mushroom poisoning, Podostroma cornudamae, Pancytopenia, Trichothecenes
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