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Case Reports
. 2010 Jun;6(2):155-7.
doi: 10.1007/s13181-010-0062-1.

Lepiota subincarnata J.E. Lange induced fulminant hepatic failure presenting with pancreatitis

Allan R Mottram  1 , Matthew P Lazio, Sean M Bryant
Affiliations
Case Reports

Lepiota subincarnata J.E. Lange induced fulminant hepatic failure presenting with pancreatitis

Allan R Mottram et al. J Med Toxicol. 2010 Jun.

Abstract

A 43-year-old woman with a medical history significant only for hepatitis B carrier status presented to an emergency department with generalized weakness, dizziness, nausea, and diarrhea 36 h after eating an estimated 170 g of sautéed Lepiota subincarnata J.E. Lange (basionym Lepiota josserandii). Laboratory evaluation revealed profound metabolic acidosis with mild transaminitis, mild coagulopathy, and renal insufficiency. Marked biochemical evidence of pancreatitis was present prior to significant hepatotoxicity. The patient ultimately required liver transplantation on hospital day 7 and was discharged home on hospital day 12.

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Figures

Fig. 1
Fig. 1
a–dL. subincarnata J.E. Lange at various stages of the life cycle. The images were taken at the location the patient described as having picked the ingested mushrooms. The mushrooms pictured were collected and identified by expert mycologists
See this image and copyright information in PMC

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