[The Amanita phalloides syndrome. Case of a 2-year-old girl]

Abstract

It has been described an Amanita phalloides poisoning in a female child of 2 years old with positive outcome. The child was admitted in hospital because of gastroenteric symptoms followed by hepatic failure (transaminases very high, decreased of clotting factors of hepatic origin and increased of ammonia serum values). The medical history was evident for ingestion of suspected mushroom 18 hours before the admission; the presence of amatoxin metabolites was revealed after in the urine. The clinical course of the intoxication, the treatment used, the medical management reported in literature have been outlined. In conclusion it is important to begin with an immediate decontamination even if the poisoning is only suspected.