Mushroom Poisoning Imitating Stroke. Report of a Case and Review of the Literature
Özet
Mushroom poisoning has an important place in thepoisonings applied to emergency department (ED).Patients may present with different toxoids according tothe fungus and toxin fecalin. Pantherina syndrome is atablature that can interfere with cerebrovascular diseasesdue to clinical presentation. Three patients from thesame family were admitted to our ED with newlydeveloped symptoms of confusion, aphasia andmydriasis. When the first patient was evaluated, thediagnosis of hypertensive encephalopathy was firstconsidered with the current symptoms. However, afterthe application of the second and third patients withsimilar symptoms, the anamnesis was deepened and thestory of eating a mushroom was questioned. Patients aretreated in the emergency ICU. Two patients recoveredwithin 24 hours, and the symptoms of one patientcontinued for up to 72 hours. Pantherina syndrome is atoxicoma characterized by early onset, confusion,neurological symptoms such as aphasia and mydriasis.Treatment is generally supportive treatment. Stomachlavage and activated charcoal will be useful in the earlyperiod. Benzodiazepines can be used in extremeagitation. Pantherina syndrome is one of the diagnosesthat clinicians should actually have in patients presentingwith an acute confusional condition. Mantar zehirlenmeleri günlük acil servis pratikuygulamasında zehirlenmeler içinde önemli bir yeresahiptir. Hastalar mantara ve toksinin türüne göre farklıklinik tablolar ile hastaneye başvurabilirler. Pantherinasendromu, serebrovasküler hastalıklarla k arışabilen birklinik tablodur. Aynı aileden üç hasta, yeni gelişen bilinçbulanıklığı, afazi ve midriyazis belirtileri ile acil servisebaşvurdu. İlk hasta değerlendirildiğinde, mevcutsemptomlarla birlikte hipertansif ensefalopati tanısıkonuldu. Bununla birlikte, benzer semptomlara sahipikinci ve üçüncü hastada anamnezin derinleştirilmesi ilemantar yemekten kuşkulanıldı. Hastalar acil yoğun bakımünitesinde tedavi edildi. İki hasta 24 saat içinde düzeldive bir hastanın semptomları 72 saate kadar devam etti.Pantherina sendromu erken başlangıçlı, konfüzyon, afazive midriyaz gibi nörolojik semptomlarla karakterize birklinik durumdur. Tedavi genellikle destek tedavisidir.Mide yıkama ve aktif kömür erken dönemde faydalıolacaktır. Benzodiazepinler aşırı ajitasyon durumundakullanılabilir. Pantherina sendromu, akut konfüzyonel birdurumla başvuran hastalarda klinisyenlerin düşünmesigereken tanılardan biridir.
Kaynak
Van Tıp DergisiCilt
25Sayı
3Bağlantı
https://doi.org/10.5505/vtd.2018.09821https://app.trdizin.gov.tr/publication/paper/detail/TXpJMU1USTJOZz09
https://hdl.handle.net/20.500.12712/9367
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