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KMID : 0385920130240040469
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Journal of the Korean Society of Emergency Medicine
2013 Volume.24 No. 4 p.469 ~ p.472
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Mushroom Poisoning by Podostroma cornu-damae: A Case Report and Review of the Literature
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Yu Hyung-Min
Kim Ji-Wan
Kang Seong-Hui
An Sang-Hee
Lim Chae-Ho
Lee Hong-Ghi
Lee Kyeong-Ryong
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Abstract
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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.
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KEYWORD
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Mushroom poisoning, Podostroma cornudamae, Pancytopenia, Trichothecenes
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