<i>Amanita phalloides</i> poisoning: one harvest, three outcomes

  • Angidi Pillay Mauree Rahima Moosa Mother and Child Hospital
  • Tim De Maayer Rahima Moosa Mother and Child Hospital http://orcid.org/0000-0001-7786-3160
  • Angela Botes University of the Witwatersrand http://orcid.org/0000-0003-1245-2525
  • June Fabian Univeristy of the Witwatersrand
  • Harriet Etheredge University of the Witwatersrand
  • Eleanor Mary Duncan Wits Donald Gordon Medical Centre
  • Jean F Botha University of the Witwatersrand
Keywords: Acute liver failure, Amanita phalloides, liver transplantation, mushroom intoxication

Abstract

The case study is to alert all health care workers and the public alike to the dangers of ingesting wild mushrooms. We describe an incidence of Amanita phalloides poisoning in Johannesburg, South Africa, where three different outcomes were experienced. A pregnant mother recovered with conservative management while her unborn foetus died, and her three-year-old daughter required an emergency liver transplant. We outline the clinical course, management options and principles of mushroom identification and toxicology to increase awareness of the presence of Amanita phalloides and its toxic relatives in South Africa. We highlight that early recognition, prompt treatment and referral to a transplant service is life-saving.

Author Biographies

Angidi Pillay Mauree, Rahima Moosa Mother and Child Hospital

Medical Officer, Deparment of Paediatrics, Rahima Moosa Mother and Child Hospital

Tim De Maayer, Rahima Moosa Mother and Child Hospital

Paediatric gastroenterologist, Rahima Moosa Mother and Child Hospital; and Department of Paediatrics and Child Health, School of Clinical Medicine, Faculty of Health Sciences, University of  the Witwatersrand

Angela Botes, University of the Witwatersrand

Lecturer, School of Molecular and Cell Biology, Faculty of Science, University of the Witwatersrand

June Fabian, Univeristy of the Witwatersrand

Wits Donald Gordon Medical Centre, Department of Internal Medicine, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand

Harriet Etheredge, University of the Witwatersrand

Wits Donald Gordon Medical Centre, Department of Internal Medicine, School of Clinical Medicine (Honorary), University of the Witwatersrand

Eleanor Mary Duncan, Wits Donald Gordon Medical Centre

Paediatric transplant coordinator, Wits Donald Gordon Medical Centre

Jean F Botha, University of the Witwatersrand

Director of Transplantation, Wits Donald Gordon Medical Centre, Department of Surgery, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand

Published
2019-03-29
How to Cite
Mauree, A., De Maayer, T., Botes, A., Fabian, J., Etheredge, H., Duncan, E., & Botha, J. (2019). <i>Amanita phalloides</i&gt; poisoning: one harvest, three outcomes. South African Journal of Surgery, 57(1), 56. Retrieved from http://sajs.redbricklibrary.com/index.php/sajs/article/view/2891
Section
Case Reports