|
KMID : 0383820130750060264
|
|
Tuberculosis and Respiratory Diseases
2013 Volume.75 No. 6 p.264 ~ p.268
|
|
|
An Elderly Man with Fatal Respiratory Failure after Eating a Poisonous Mushroom Podostroma cornu-damae
|
|
Jang Ju-Ah
Kim Cheol-Hong
Yoo Jun-Jae
Kim Mi-Kang
Lee Jae-Eun
Lim Ah-Leum
Choi Jeong-Hee
Hyun In-Gyu
Shim Jung-Weon
Shin Ho-Seung
Han Joung-Ho
Seok Soon-Ja
|
|
|
Abstract
|
|
|
|
A 73-year-old, previously healthy man presented with nausea, vomiting, diarrhea, dry mouth and febrile sensation 3 hours after eating boiled wild mushrooms. After admission, he showed progressive severe respiratory distress, pancytopenia, azotemia, hypotension, hypoxemia and consolidation of the entire left lung on chest radiography. With a preliminary diagnosis of necrotizing pneumonia, he underwent left pneumonectomy in order to remove all necrotic lung tissue. Lung histology showed extensive hemorrhagic necrosis, massive inflammatory cell infiltration, prominent proliferation of young fibroblasts and the formation of an early-stage hyaline membrane along the alveolar wall. Despite aggressive treatment, including mechanical ventilation, continuous renal replacement therapy and administration of granulocyte colony stimulating factor and broad spectrum antibiotics, he died on hospitalization day 13. Subsequently, the mushroom was identified as Podostroma cornu-damae. This is the first case of a histological evidence of lung involvement by Podostroma cornu-damae poisoning in Korea.
|
|
|
KEYWORD
|
|
|
Korea, Mushroom Poisoning
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|
|