Local mushroom poisoning: a case report study

Poisoning by poisonous local mushrooms that resemble edible mushrooms is a serious health hazard with severe consequences. Wild and unidentified mushrooms are the main cause of these poisonings. Successful treatment requires prompt medical intervention, and if delayed, a liver transplant may be necessary. A 26-year-old woman with postpartum cardiomyopathy was admitted to Razi Hospital with abdominal pain, dizziness, nausea, and vomiting. She was diagnosed with poisoning from local mountain mushrooms and transferred to the ICU due to low blood pressure, elevated enzymes, and tachycardia. Echocardiography showed severe cardiac dysfunction (EF = 25%), and she developed severe tachycardia, decreased consciousness, and metabolic-respiratory acidosis. After dialysis and treatment with NAC infusion for 7 days, her consciousness improved, she was extubated, and EF increased to 40%. The patient gradually improved after 6 days in ICU, with pancreatitis resolving and bilateral lower extremity paresthesia diagnosed and subsequently improved.