Öz
Mantar zehirlenmeleri, acil servislerde başvurulara neden olan önemli bir halk sağlığı sorunudur. Yetişkinlerde görülen tüm akut zehirlenme olgularının yaklaşık olarak %7'sini mantar zehirlenmeleri oluşturmaktadır. Mantarın cinsine göre, klinik tablo, bulantı kusma gibi gastrointestinal sistem şikayetlerinden karaciğer yetmezliğine hatta ölüme kadar değişiklik göstermektedir. Çalışmada, Ocak-Aralık 2021 tarihleri arasında bir üniversite hastanesi erişkin ve çocuk acil servislerine mantar zehirlenmesi nedeni ile başvuran 42 vaka retrospektif olarak değerlendirildi. Vakaların %38.2’sinin yetişkin erkek hastalardan, %33.3’ünün 18 yaş altı çocuklardan oluştuğu ve acil servis başvurularının %52.4’ünün yaz aylarında olduğu saptandı. Çalışmada, 22 olguda (%52.3) bulantı ve kusma, 8 olguda (%19) ishal en sık görülen geliş şikayetleri idi. Vakaların büyük çoğunluğunda (%90.4) semptomatik tedavi sonucu sekelsiz iyileşme görüldü. Sonuç olarak, çalışmanın yapıldığı il ve çevresindeki mantar zehirlenmelerinin genellikle 18 yaş altı çocuklar ile erişkin erkeklerde ve yaz aylarında gerçekleştiği ve çoğunlukla iyileşme sağlandığı saptandı. Mantar zehirlenmesinde halkın bilinçlendirilmesi en iyi tedavidir. Bu nedenle halkın zehirli mantarlar konusunda uyarılması ve zehirlenme bulguları ve bulgular görüldüğünde vakit kaybetmeden hastaneye başvurmaları konusunda bilinçlendirilmesi mortalitenin azaltılmasında önemlidir.
Anahtar Kelimeler
Kaynakça
- 1. Keller SA, Klukowska-Rötzler J, Schenk-Jaeger KM, Kupferschmidt H, Exadaktylos AK, Lehmann B, Liakoni E. Mushroom Poisoning—A 17 Years Retrospective Study at a Level I University Emergency Department of Switzerland. International Journal of Environmental Research and Public Health. 2018;15(12),2855. doi: 10.3390/ijerph15122855.
- 2. Wennig R, Eyer F, Schaper A, Zilker T, Andresen-Streichert H. Mushroom Poisoning. Deutsches Ärzteblatt International. 2020;117(42),701. doi: 10.3238/arztebl.2020.0701.
- 3. Diaz JH. Syndromic Diagnosis and Management of Confirmed Mushroom Poisoning. Critical Care Medicine. 2005;33(2),427-436. doi: 10.1097/01.ccm.0000153531.69448.49.
- 4. Ukwuru MU, Muritala A, Eze LU. Edible and Non-Edible Wild Mushrooms: Nutrition, Toxicity and Strategies for Recognition. J Clin Nutr Metab. 2018;2(9).
- 5. Pu Y, Yao QM, Zhong JJ, Yu CM. Three Cases of Mushrooms Poisoning Caused by Lethal Amanita Species. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi=Zhonghua Laodong Weisheng Zhiyebing Zazi=Chinese Journal of Industrial Hygiene and Occupational Diseases. 2021;39(10),787-788. doi: 10.3760/cma.j.cn121094-20201221-00707
- 6. Schmutz M, Carron PN, Yersin B, Trueb L. Mushroom Poisoning: A Retrospective Study Concerning 11-Years of Admissions in a Swiss Emergency Department. Internal and Emergency Medicine. 2018;13(1),59-67. doi: 10.1007/s11739-016-1585-5.
- 7. Trabulus S, Altiparmak MR. Clinical Features and Outcome of Patients With Amatoxin-Containing Mushroom Poisoning. Clinical Toxicology. 2011;49(4),303-310. doi: 10.3109/15563650.2011.565772.
- 8. Bergis D, Friedrich-Rust M, Zeuzem S, Betz C, Sarrazin C, Bojunga J. Treatment of Amanita phalloides Intoxication by Fractionated Plasma Separation and Adsorption (Prometheus®). Journal of Gastrointestinal & Liver Diseases. 2012;21(2).
- 9. Deniz T, Saygun M. Investigation of 62 Mushrooms Poisoning Cases Applied to The Emergency Service During What's That Month Period. Akademik Acil Tıp Dergisi. 2008;7(1): 29-32.
- 10. Yilmaz A, Gursoy S, Varol O, Nur N, Ozilkan E. Emergency Room Cases of Mushrooms Poisoning. Saudi Medical Journal. 2006;27(6),858-861.
- 11. Eren SH, Demirel Y, Ugurlu S, Korkmaz I, Aktas C, Güven FMK. Mushroom Poisoning: Retrospective Analysis of 294 cases. Clinics. 2010;65(5),491-496.
- 12. Ahishali E, Boynuegri B, Ozpolat E, Surmeli H, Dolapcioglu C, Dabak R, ..., Bayramicli OU. Approach to Mushroom Intoxication and Treatment: Can We Decrease Mortality?. Clinics and Research in Hepatology and Gastroenterology. 2012;36(2),139-145.
- 13. Ecevit, Ç, Hızarcıoğlu M, Gerçek PA, Gerçek H, Kayserili E, Gülez P, Apa H. Retrospective Analysis of Mushroom Poisonings Admitted to The Emergency Department. Journal of ADU Faculty of Medicine. 2004;5(3):11-14.
- 14. Araz C, Karaaslan P, Esen A, Zeyneloglu P, Candan S, Torgay A, Haberal M. Successful Treatment of A Child with Fulminant Liver Failure and Coma Due to Amanita phalloides Poisoning Using Urgent Liver Transplantation. Transplantation Proceedings. 2006;38(2):596-597. doi: 10.1016/j.transproeed.2005.12.089.
- 15. Kol IO, Düger C, Volunteer M. Evaluation of Fungal Intoxication Cases Treated in Intensive Care Unit. Journal of CU Faculty of Medicine. 2004;26(3),119-122.
- 16. Enjalbert F, Rapior S, Nouguier-Soulé J, Guillon S, Amouroux N, Cabot C. Treatment of Amatoxin Poisoning: 20-Year Retrospective Analysis. Journal of Toxicology: Clinical Toxicology. 2002;40(6),715-757. doi: 10.1081/clt-120014646.
- 17. Gonmori K, Yoshioka N. The Examination of Mushrooms Poisonings at Akita University. Legal Medicine. 2003;5,S83-S86.
Öz
Mushroom poisoning is an important public health problem that causes applications in emergency departments. Mushroom poisonings constitute approximately 7% of all acute poisoning cases in adults. Depending on the type of fungus, the clinical picture varies from gastrointestinal system complaints such as nausea and vomiting to liver failure and even death. In the study, 42 cases who applied to the adult and pediatric emergency services of a university hospital due to mushroom poisoning between January and December 2021 were evaluated retrospectively. It was determined that 38.2% of the cases were adult male patients, 33.3% were children under the age of 18, and 52.4% of the emergency service admissions were during the summer months. In the study, nausea and vomiting in 22 cases (52.3%) and diarrhea in 8 cases (19%) were the most common presenting complaints. In the vast majority of cases (90.4%), recovery was observed without sequelae as a result of symptomatic treatment. As a result, it was determined that the mushroom poisonings in and around the province where the study was conducted generally occur in children under 18 years of age and adult men and in the summer months, and mostly recovery is achieved. Public awareness is the best treatment for mushroom poisoning. For this reason, it is important to warn the public about poisonous mushrooms and to raise awareness about poisoning signs and to apply to the hospital without delay when they are seen.
Anahtar Kelimeler
Mushroom poisoning Emergency department Frequency of admission
Kaynakça
- 1. Keller SA, Klukowska-Rötzler J, Schenk-Jaeger KM, Kupferschmidt H, Exadaktylos AK, Lehmann B, Liakoni E. Mushroom Poisoning—A 17 Years Retrospective Study at a Level I University Emergency Department of Switzerland. International Journal of Environmental Research and Public Health. 2018;15(12),2855. doi: 10.3390/ijerph15122855.
- 2. Wennig R, Eyer F, Schaper A, Zilker T, Andresen-Streichert H. Mushroom Poisoning. Deutsches Ärzteblatt International. 2020;117(42),701. doi: 10.3238/arztebl.2020.0701.
- 3. Diaz JH. Syndromic Diagnosis and Management of Confirmed Mushroom Poisoning. Critical Care Medicine. 2005;33(2),427-436. doi: 10.1097/01.ccm.0000153531.69448.49.
- 4. Ukwuru MU, Muritala A, Eze LU. Edible and Non-Edible Wild Mushrooms: Nutrition, Toxicity and Strategies for Recognition. J Clin Nutr Metab. 2018;2(9).
- 5. Pu Y, Yao QM, Zhong JJ, Yu CM. Three Cases of Mushrooms Poisoning Caused by Lethal Amanita Species. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi=Zhonghua Laodong Weisheng Zhiyebing Zazi=Chinese Journal of Industrial Hygiene and Occupational Diseases. 2021;39(10),787-788. doi: 10.3760/cma.j.cn121094-20201221-00707
- 6. Schmutz M, Carron PN, Yersin B, Trueb L. Mushroom Poisoning: A Retrospective Study Concerning 11-Years of Admissions in a Swiss Emergency Department. Internal and Emergency Medicine. 2018;13(1),59-67. doi: 10.1007/s11739-016-1585-5.
- 7. Trabulus S, Altiparmak MR. Clinical Features and Outcome of Patients With Amatoxin-Containing Mushroom Poisoning. Clinical Toxicology. 2011;49(4),303-310. doi: 10.3109/15563650.2011.565772.
- 8. Bergis D, Friedrich-Rust M, Zeuzem S, Betz C, Sarrazin C, Bojunga J. Treatment of Amanita phalloides Intoxication by Fractionated Plasma Separation and Adsorption (Prometheus®). Journal of Gastrointestinal & Liver Diseases. 2012;21(2).
- 9. Deniz T, Saygun M. Investigation of 62 Mushrooms Poisoning Cases Applied to The Emergency Service During What's That Month Period. Akademik Acil Tıp Dergisi. 2008;7(1): 29-32.
- 10. Yilmaz A, Gursoy S, Varol O, Nur N, Ozilkan E. Emergency Room Cases of Mushrooms Poisoning. Saudi Medical Journal. 2006;27(6),858-861.
- 11. Eren SH, Demirel Y, Ugurlu S, Korkmaz I, Aktas C, Güven FMK. Mushroom Poisoning: Retrospective Analysis of 294 cases. Clinics. 2010;65(5),491-496.
- 12. Ahishali E, Boynuegri B, Ozpolat E, Surmeli H, Dolapcioglu C, Dabak R, ..., Bayramicli OU. Approach to Mushroom Intoxication and Treatment: Can We Decrease Mortality?. Clinics and Research in Hepatology and Gastroenterology. 2012;36(2),139-145.
- 13. Ecevit, Ç, Hızarcıoğlu M, Gerçek PA, Gerçek H, Kayserili E, Gülez P, Apa H. Retrospective Analysis of Mushroom Poisonings Admitted to The Emergency Department. Journal of ADU Faculty of Medicine. 2004;5(3):11-14.
- 14. Araz C, Karaaslan P, Esen A, Zeyneloglu P, Candan S, Torgay A, Haberal M. Successful Treatment of A Child with Fulminant Liver Failure and Coma Due to Amanita phalloides Poisoning Using Urgent Liver Transplantation. Transplantation Proceedings. 2006;38(2):596-597. doi: 10.1016/j.transproeed.2005.12.089.
- 15. Kol IO, Düger C, Volunteer M. Evaluation of Fungal Intoxication Cases Treated in Intensive Care Unit. Journal of CU Faculty of Medicine. 2004;26(3),119-122.
- 16. Enjalbert F, Rapior S, Nouguier-Soulé J, Guillon S, Amouroux N, Cabot C. Treatment of Amatoxin Poisoning: 20-Year Retrospective Analysis. Journal of Toxicology: Clinical Toxicology. 2002;40(6),715-757. doi: 10.1081/clt-120014646.
- 17. Gonmori K, Yoshioka N. The Examination of Mushrooms Poisonings at Akita University. Legal Medicine. 2003;5,S83-S86.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Erken Görünüm Tarihi | 25 Eylül 2023 |
| Yayımlanma Tarihi | 29 Eylül 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 3 Sayı: 2 |
