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Crotinarius mushrooms
From WikEM
Contents
Overview
- Contain toxin Orellanine
- Cortinarius rainierensis in America
- C. orellanus or C. speciosissimus in Europe
Clinical Features
- Headache, chills, malaise, nausea and vomiting over days
- Can see delayed renal failure 1-3 weeks after exposure
Differential Diagnosis
Mushroom toxicity by Type
| Mushroom | Toxin | Pathologic Effect |
| Amanita | Amatoxin | Hepatotoxicity |
| Coprine | Disulfiram-like | |
| Crotinarius | Orellanine | Delayed renal failure |
| Gyromitra | Gyromitrin | Seizures |
| Ibotenic Acid | Anticholinergic | |
| Muscarine | Cholinergic | |
| Orellanin | Nephrotoxicity | |
| Psilocybin | Hallucinations |
Evaluation
Workup
- Urinalysis with microscopy
- Urine electrolytes
- Urine eosinophils
Management
- Supportive
- If renal failure from mushroom exposure, recovery can take several weeks
- May need temporary hemodialysis
Disposition
See Also
References
- Diaz JH. Syndromic diagnosis and management of confirmed mushroom poisonings. Crit Care Med. 2005 Feb. 33(2):427-36.
- Karlson-Stiber C, Persson H: Cytotoxic fungi—An overview. Toxicon 2003; 42:339–349.
- Danel VC, Saviuc PF, Garon D: Main features of Cortinarius spp. poisoning: A literature review. Toxicon 2001; 39:1053–1060.
Authors
Kevin Lu, Greg Armani, Ross Donaldson, Neil Young, Daniel Ostermayer
