6例由假残托鹅膏引起的中毒病例临床调查及毒物鉴定研究
作者:
作者单位:

1.温州医科大学附属第五医院 急诊医学科,浙江 丽水 323000;2.湖南师范大学生命科学学院,湖南 长沙 410081

作者简介:

兰频 男 主任医师 研究方向为急危重症救治 E-mail:lp2587518@163.com

通讯作者:

陈作红 男 教授 研究方向为真菌学 E-mail:chenzuohong@263.net

中图分类号:

R155

基金项目:

国家自然科学基金(31872616);湖南省研究生科研创新项目(CX20210429)


Clinical investigation and toxicant identification of six cases of poisoning caused by Amanita pseudosychnopyramis
Author:
Affiliation:

1.Emergency Department of the Fifth Affiliated Hospital of Wenzhou Medical University , Zhejiang Lishui 323000, China;2.College of Life Sciences, Hunan Normal University, Hu’nan Changsha 410081, China

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    摘要:

    目的 调查2021年4月浙江省丽水市发生的一起误食野生蘑菇引起神经精神型中毒事件,鉴定毒蘑菇种类,了解中毒症状和救治措施。方法 开展中毒病例的流行病学调查、临床救治分析,毒蘑菇样本现场采集并结合形态学与分子生物学方法鉴定物种。结果 6例患者食用了自己采集并煮汤的蘑菇,于食用后30 min~2 h出现中毒症状,轻症患者恶心呕吐、头晕,重症患者有意识模糊、四肢不自主抽动等症状。轻症患者经过支持性治疗当天痊愈出院,重症患者经过住院治疗顺利恢复。毒蘑菇样本经过形态学结合分子生物学方法鉴定为假残托鹅膏(Amanita pseudosychnopyramis)。结论 该起中毒事件是一起由假残托鹅膏导致的食物中毒事件,国内外文献未见报道。

    Abstract:

    Objective A neuropsychosis poisoning caused by the ingestion of wild mushrooms in April 2021 in Lishui, Zhejiang Province, were investigated. The types of poisonous mushrooms were identified. Poisoning symptoms and treatment measures were reviewed.Methods Epidemiological investigation and clinical treatment analysis were performed. Field mushrooms were collected and speciated based on morphology and molecular biology.Results Epidemiological information revealed that six patients consumed mushrooms that were collected and used it for soup preparation. They developed poisoning symptoms approximately at 30 min to 2 h after consuming the soup. Mild symptoms included nausea, vomiting, and dizziness. Severe symptoms included diminished consciousness and involuntary limb twitching. Patients with mild symptoms recovered and were discharged from hospital on the same day following supportive treatment. Patients with severe symptoms recovered smoothly after hospitalization. Morphological and molecular analyses identified the mushrooms as Amanita pseudosychnopyramis.Conclusion Food poisoning caused by Amanita pseudosychnopyramis has not been previously reported.

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兰频,苏玉婷,杜望,龙攀,潘群婕,蒋子娟,陈作红.6例由假残托鹅膏引起的中毒病例临床调查及毒物鉴定研究[J].中国食品卫生杂志,2023,35(5):745-748.

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  • 收稿日期:2022-03-06
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  • 在线发布日期: 2023-08-14
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