Coma in the course of severe poisoning after consumption of red fly agaric (Amanita muscaria).

  • Małgorzata A Mikaszewska-Sokolewicz 1st Clinic of Anaesthesia and Intensive Care, Medical University of Warsaw, Warsaw, Poland.;
  • Sylwestra Pankowska 1st Clinic of Anaesthesia and Intensive Care, Medical University of Warsaw, Warsaw, Poland.;
  • Marek Janiak 1st Clinic of Anaesthesia and Intensive Care, Medical University of Warsaw, Warsaw, Poland.;
  • Piotr Pruszczyk Department of Internal Medicine and Cardiology, Medical University of Warsaw, Warsaw, Poland.;
  • Tomasz Łazowski 1st Clinic of Anaesthesia and Intensive Care, Medical University of Warsaw, Warsaw, Poland.;
  • Krzysztof Jankowski Department of Internal Medicine and Cardiology, Medical University of Warsaw, Warsaw, Poland.;

Abstract

Red fly agaric poisoning is rare. It can be consumed for suicidal purposes or its psychedelic effect. The paper describes the case of a young men, who fell into a coma after ingestion of the red toadstools. Quick identification of the poison, early use of gastric lavage and symptomatic treatment resulted in regression of symptoms and lead to the patient's discharge from the hospital on the third day after intoxication. Authors discussing the poisonous alkaloids contained in the red toadtools: ibotenic acid, muscimol, muscasone and muscarine and theirs properties, responsible for the symptoms of intoxication.
Published
2016-02-01
Section
Articles