A 22-year-old female presents to the emergency department with seizures. She keeps seizing despite receiving benzodiazepines.
Her bestie says they were foraging mushrooms and shows you THIS picture.
β οΈ β οΈ
What treatment is warranted?
Her bestie says they were foraging mushrooms and shows you THIS picture.
β οΈ β οΈ
What treatment is warranted?
This nasty shroom (kind of looks like a brain or scrotum) is a GYROMITRA and contains GYROMITRIN! This gets hydrolyzed to monomethylhydrazine which reacts with pyridoxine so you cannot make GABA...which makes you seize!
This person needs to receive PYRIDOXINE (Vitamin B6)!! π±
This person needs to receive PYRIDOXINE (Vitamin B6)!! π±
Treatment for these mushrooms is supportive care--this means giving activated charcoal if the patient can safely take it and benzodiazepines for initial management of seizures. Pyridoxine (Vitamin B6) is recommended in doses of 70mg/kg IV (up to 5g!) for seizures. π΅βπ«π΅βπ«
Remember: there are old mushroom foragers and bold mushroom foragers, but thereβs no old and bold mushroom foragersπ³
#ToxTweets
π also the mushroom emoji is an Amanita muscaria π
#ToxTweets
π also the mushroom emoji is an Amanita muscaria π
(This case above is fictional for educational purposes)
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