一起剧毒蘑菇新种假淡红鹅膏中毒事件调查研究
作者:
作者单位:

(1.贵州省疾病预防控制中心,贵州 贵阳 550004;2.中国疾病预防控制中心职业卫生与中毒控制所,北京 100050)

作者简介:

周亚娟 女 主任医师 研究方向为食源性疾病监测与食物中毒应急处置 E-mail:131011922@qq.com通信作者:┣┣(中)通信作者┫┫李海蛟 男 副研究员 研究方向为大型真菌分类鉴定及毒素检测 E-mail:lihaijiao715@126.com

通讯作者:

中图分类号:

基金项目:

国家自然科学基金青年科学基金(31501814)


Investigation and study on a poisoning incident caused by Amanita subpallidorosea, a new lethal mushroom described from China
Author:
Affiliation:

(1.Guizhou Center for Disease Control and Prevention, Guizhou Guiyang 550004,China;2.National Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing 100050, China)

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的 通过对贵州省遵义市务川县由剧毒蘑菇新种假淡红鹅膏造成的中毒事件的流行病学调查总结,为毒蘑菇中毒防控积累资料和经验。方法 对中毒事件开展现场流行病学调查,采集可疑毒蘑菇样品并开展形态学鉴定,同时开展急性毒理学试验。结果 2014年9月19日,务川县某村村民父子2人因进食自采野生蘑菇中毒死亡。分别于餐后9、17 h后出现恶心、呕吐、腹痛、腹泻等症状,送医就诊,诊断为毒蘑菇中毒。病程中中毒者出现以肝损害为主的中毒表现,病例1丙氨酸氨基转移酶最高达1 279 U/L,病例2最高达6 070 U/L;病例1门冬氨酸氨基转移酶最高达2 829 U/L,病例2最高达6 868 U/L。因病情进行性加重,出现临床多项指标异常,分别于中毒第5天、第7天因多脏器衰竭救治无效死亡。现场调查采集的可疑蘑菇样品,经形态学辨识、分子生物学研究鉴定为剧毒蘑菇新种假淡红鹅膏。将可疑蘑菇样品开展小鼠简易急性经口毒性试验,试验5只雄性小鼠全部死亡,5只雌性小鼠中3只死亡。结论 此次中毒事件为误采误食剧毒的假淡红鹅膏引起的中毒事件。

    Abstract:

    Objective To accumulate data and experience for the prevention and control of mushroom poisoning through investigation and summary of one mushroom poisoning caused by a new species:Amanita subpallidorosea, which was collected from Wuchuan County, Zunyi City, Guizhou Province. Methods Epidemiological investigations were carried out soon after the mushroom poisoning incident occurred. Suspicious mushroom specimens were photographed, recorded and collected, species identification and acute toxicity test were taken subsequently. Results On September 19th, 2014, one father and his son from rural area of Wuchuan County developed symptoms of nausea, vomiting, abdominal pain, and diarrhea in 9 hours and 17 hours after eating some white wild mushrooms collected by themselves from the forest just behind their yard. The two patients developed acute liver failure and their main symptoms were as follows:the highest alanine aminotransferase of case 1 reached 1 279 U/L, and case 2 was 6 070 U/L; the aspartate transaminase of case 1 reached its peak at 2 829 U/L, and for case 2 was up to 6 868 U/L. Since the diseases were aggravated, several abnormal clinical indicators of patients appeared and the two patients died on the 5th and 7th day after poisoning due to multiple organ failures. Based on morphological and molecular studies, the suspicious mushroom was identified as a new lethal species, Amanita subpallidorosea. All the tested 5 male mice and 3 out of 5 female mice died in the acute oral toxicity test. Conclusion This food poisoning incident was caused by the lethal mushroom, Amanita subpallidorosea, which was mistakenly regarded as edible mushrooms.

    参考文献
    相似文献
    引证文献
引用本文

周亚娟,俞红,朱姝,章轶哲,李海蛟.一起剧毒蘑菇新种假淡红鹅膏中毒事件调查研究[J].中国食品卫生杂志,2018,30(5):497-501.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2018-07-26
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2018-09-29
  • 出版日期:
文章二维码
《中国食品卫生杂志》邮寄地址与联系方式变更通知
关闭