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Toxicon. 2014 Nov;90:269-72. doi: 10.1016/j.toxicon.2014.08.067. Epub 2014 Aug 27.

Amanita muscaria and Amanita pantherina poisoning: two syndromes.

Author information

1
Poison Control Centre, Division of Internal Medicine, University Medical Centre Ljubljana, Zaloška cesta 7, Slovenia. Electronic address: vendramin.andreja@gmail.com.
2
Poison Control Centre, Division of Internal Medicine, University Medical Centre Ljubljana, Zaloška cesta 7, Slovenia. Electronic address: miran.brvar@kclj.si.

Abstract

Amanita muscaria contains more excitatory ibotenic acid and less depressant muscimol compared to Amanita pantherina. In this study A. muscaria poisoned patients were more often confused (26/32, p = 0.01) and agitated (20/32, p = 0.03) compared to those poisoned with A. pantherina (8/17 and 5/17). Patients poisoned with A. pantherina were more commonly comatose (5/17) compared to those poisoned with A. muscaria (2/32) (p = 0.03). In conclusion, the so-called ibotenic or pantherina-muscaria syndrome might be divided into two subtypes.

KEYWORDS:

Agitation; Amanita muscaria; Amanita pantherina; Coma; Confusion; Poisoning

PMID:
25173077
DOI:
10.1016/j.toxicon.2014.08.067
[Indexed for MEDLINE]

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