Acute liver injury, acute liver failure and acute on chronic liver failure: A clinical spectrum of poisoning due to Gyromitra esculenta

Annals of Hepatology

Maciej Wójcicki¹  Piotr Milkiewicz²  Bernard Piotuch³  Magdalena Arłukowicz-Grabowska³  Monika Szydłowska-Jakimiuk³  Joanna Raszeja-Wyszomirska³ 

[1] Corresponding author at: Liver and Internal Medicine Unit, Department of General, Transplant and Liver Surgery, Medical University of Warsaw, ul. Banacha 1a, 02-097 Warsaw, Poland.;Department of Surgery, Ministry of the Interior and Administration Hospital, Szczecin, Poland;Liver and Internal Medicine Unit, Department of General, Transplant and Liver Surgery, Medical University of Warsaw, Poland;

关键词: Acute liver failure;    Mushroom poisoning;    Gyromitra esculenta;   

DOI  :  

来源: DOAJ

【 摘 要 】

Gyromitra esculenta, also known as “false morel” is one of the most poisonous mushrooms. This species is found all over the world, growing in coniferous forest in early spring time. Common manifestation of poisoning includes gastrointestinal symptoms which include varied degrees of liver impairment.We describe three cases: acute liver injury, acute liver failure and acute-on-chronic liver failure due to G. esculenta poisoning. At admission patients presented with encephalopathy and features of liver failure. Two of them recovered completely following supportive management while the remaining patient who also had preexisting liver disease developed multiorgan failure and subsequently died.Although a rare occurrence, G. esculenta poisoning should be considered in the differential diagnosis of acute liver failure.

【 授权许可】

Unknown