eMedicine Specialties > Emergency Medicine > Toxicology
Toxicity, Mushroom - Disulfiramlike Toxins: Follow-up
Updated: Jun 1, 2009
Follow-up
Further Inpatient Care
- Continue supportive care.
Complications
- Complications from prolonged emesis
- Mallory-Weiss esophageal tears (upper GI bleeding)
- Esophageal rupture (mediastinitis)
- Volume depletion
Prognosis
- The prognosis is excellent.
Patient Education
- Educate patients about the risks of eating unidentified wild mushrooms.
- If toxic mushrooms were intentionally eaten, educate patients about coprine toxicity with ethanol ingestion.
- For excellent patient education resources, visit eMedicine's Poisoning Center and Poisoning - First Aid and Emergency Center. Also, see eMedicine's patient education articles Food Poisoning and Activated Charcoal.
Miscellaneous
Medicolegal Pitfalls
- Failure to recognize co-ingestion of other toxic mushrooms, such as Amanita phalloides
- Failure to recognize an esophageal injury associated with vomiting
- Failure to recognize ethanol ingestion (eg, cough syrup ingestion)
More on Toxicity, Mushroom - Disulfiramlike Toxins |
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| Differential Diagnoses & Workup: Toxicity, Mushroom - Disulfiramlike Toxins |
| Treatment & Medication: Toxicity, Mushroom - Disulfiramlike Toxins |
Follow-up: Toxicity, Mushroom - Disulfiramlike Toxins |
| References |
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References
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Further Reading
Keywords
mushroom toxicity, mushroom poisoning, disulfiram-like toxins, toxic mushrooms, coprine, coprine-containing mushroom toxicity, Coprinus atramentarius, C atramentarius, alcohol inky, inky cap, Clitocybe clavipes, C clavipes, fat-footed clitocybe, clubfoot funnel cap, disulfiram, Antabuse
Follow-up: Toxicity, Mushroom - Disulfiramlike Toxins