The Trickery of Mushroom Poisoning

Overview

The article describes a case of intoxication in a 53 year man who had been repeatedly consuming„turban fungus“ (Gyromitra esculenta) for many years. However, it was discovered that thepatient had been consuming only „brownroll rim“ (Paxillus involutus).The term„turban fungus“was a regionally used name. The intoxication presented itself as a massive intravasal hemolysiswith a developed severe renal failure which the patient survived only thanks to repeatedlyapplied dialyses and hemoperfusions. In the discussion the authors analyse intoxication causedby both fungal species and clarify the mechanism of intoxication with turban fungus.

Key words:
brown roll-rim - intravasal immune hemolysis.