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Hemolysis associated with Russula subnigricans ingestion in a patient with glucose-6-phosphate dehydrogenase deficiency.
- Source :
-
Clinical Toxicology (15563650) . Jun2023, Vol. 61 Issue 6, p473-475. 3p. - Publication Year :
- 2023
-
Abstract
- Russula subnigricans is now one of the leading lethal mushroom species in China, with a mortality rate of more than 50%. The typical clinical manifestation of Russula subnigricans poisoning is rhabdomyolysis, and we are unaware of previous reports of Russula subnigricans-associated hemolysis. Herein we report a cluster of five patients with confirmed Russula subnigricans poisoning. Four of the patients who ingested sun-dried Russula subnigricans never developed rhabdomyolysis. However, in one patient, acute hemolysis developed on the second day following ingestion and was associated with a fall in hemoglobin concentration and a rise in unconjugated bilirubin concentration. Further investigation revealed that the patient had glucose-6-phosphate dehydrogenase deficiency. This case cluster suggests that the toxin of Russula subnigricans could cause hemolysis in a susceptible patient and warrants further study. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 15563650
- Volume :
- 61
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- Clinical Toxicology (15563650)
- Publication Type :
- Academic Journal
- Accession number :
- 164617381
- Full Text :
- https://doi.org/10.1080/15563650.2023.2220899