Mushroom poisoning in Ireland: the collaboration between the National Poisons Information Centre and expert mycologists.

Hdl Handle:
http://hdl.handle.net/10147/207119
Title:
Mushroom poisoning in Ireland: the collaboration between the National Poisons Information Centre and expert mycologists.
Authors:
Cassidy, Nicola; Duggan, Edel; Tracey, Joseph A
Affiliation:
The National Poisons Information Centre, Beaumont Hospital, Dublin 9, Ireland., nicolacassidy@beaumont.ie
Citation:
Clin Toxicol (Phila). 2011 Mar;49(3):171-6.
Journal:
Clinical toxicology (Philadelphia, Pa.)
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207119
DOI:
10.3109/15563650.2011.560854
PubMed ID:
21495886
Abstract:
BACKGROUND: Occasionally, mycologist assistance is requested to reliably identify mushroom species in symptomatic cases where there is a concern that a toxic species is involved. The aim of this study was to describe the epidemiology of mushroom poisoning in Ireland, to describe the working arrangement between the National Poisons Information Centre (NPIC) and professional mycologists and to present a case series detailing the circumstances when mycologists were consulted. METHODS: Computerised records from 1 January 2004 to 31 December 2009 were retrospectively reviewed and data on patient demographics, circumstances, and mushroom species collated. In 1999, the NPIC established a national registry of volunteer professional mycologists who are available 24 h/day for mushroom identification. The NPIC staff liaises directly with the mycologist and arranges transport of mushroom material. Digital photographic images are requested if there is likely to be a delay in arranging transportation of mushroom material, and the images are subsequently emailed to a mycologist. Five cases of suspected mushroom poisoning were chosen to demonstrate the inter-professional collaboration between the NPIC and mycologists. RESULTS: From 2004 to 2009, the NPIC was consulted about 70 cases of suspected mushroom exposures. Forty-five children ingested unknown mushrooms, 12 adults and 2 children ingested hallucinogenic mushrooms and 11 adults ingested wild toxic mushrooms that were incorrectly identified or confused with edible species. The mycologists were consulted 10 times since 1999. In this series, Amanita species were identified in two cases. In three cases, the species identified were Clitocybe nebularis, Coprinus comatus and Panaeolina foenisecii, respectively, and serious poisoning was excluded. Incorrect mushroom identification by a health care professional using the Internet occurred in two cases. The mycologists assisted Poisons Information Centres in Northern Ireland and the United Kingdom in two cases. Digital photographs facilitated tentative mushroom identification in two cases. CONCLUSION: Poison information centres should maintain a registry of expert mycologists who are available for consultation following potentially serious mushroom intoxications. Health care workers should not attempt to identify toxic mushroom species using the Internet as erroneous identification can occur. Digital photography may help with mushroom identification when there is likely to be a delay organising a physical examination of mushroom tissue.
Language:
eng
MeSH:
Adolescent; Child; Child, Preschool; Databases, Factual; *Drug Information Services; Emergency Service, Hospital; Female; Humans; Infant; Ireland/epidemiology; Male; Mushroom Poisoning/*diagnosis/epidemiology/therapy; *Mycology; Poison Control Centers/*organization & administration; *Professional Competence
ISSN:
1556-9519 (Electronic); 1556-3650 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorCassidy, Nicolaen_GB
dc.contributor.authorDuggan, Edelen_GB
dc.contributor.authorTracey, Joseph Aen_GB
dc.date.accessioned2012-02-01T09:59:41Z-
dc.date.available2012-02-01T09:59:41Z-
dc.date.issued2012-02-01T09:59:41Z-
dc.identifier.citationClin Toxicol (Phila). 2011 Mar;49(3):171-6.en_GB
dc.identifier.issn1556-9519 (Electronic)en_GB
dc.identifier.issn1556-3650 (Linking)en_GB
dc.identifier.pmid21495886en_GB
dc.identifier.doi10.3109/15563650.2011.560854en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207119-
dc.description.abstractBACKGROUND: Occasionally, mycologist assistance is requested to reliably identify mushroom species in symptomatic cases where there is a concern that a toxic species is involved. The aim of this study was to describe the epidemiology of mushroom poisoning in Ireland, to describe the working arrangement between the National Poisons Information Centre (NPIC) and professional mycologists and to present a case series detailing the circumstances when mycologists were consulted. METHODS: Computerised records from 1 January 2004 to 31 December 2009 were retrospectively reviewed and data on patient demographics, circumstances, and mushroom species collated. In 1999, the NPIC established a national registry of volunteer professional mycologists who are available 24 h/day for mushroom identification. The NPIC staff liaises directly with the mycologist and arranges transport of mushroom material. Digital photographic images are requested if there is likely to be a delay in arranging transportation of mushroom material, and the images are subsequently emailed to a mycologist. Five cases of suspected mushroom poisoning were chosen to demonstrate the inter-professional collaboration between the NPIC and mycologists. RESULTS: From 2004 to 2009, the NPIC was consulted about 70 cases of suspected mushroom exposures. Forty-five children ingested unknown mushrooms, 12 adults and 2 children ingested hallucinogenic mushrooms and 11 adults ingested wild toxic mushrooms that were incorrectly identified or confused with edible species. The mycologists were consulted 10 times since 1999. In this series, Amanita species were identified in two cases. In three cases, the species identified were Clitocybe nebularis, Coprinus comatus and Panaeolina foenisecii, respectively, and serious poisoning was excluded. Incorrect mushroom identification by a health care professional using the Internet occurred in two cases. The mycologists assisted Poisons Information Centres in Northern Ireland and the United Kingdom in two cases. Digital photographs facilitated tentative mushroom identification in two cases. CONCLUSION: Poison information centres should maintain a registry of expert mycologists who are available for consultation following potentially serious mushroom intoxications. Health care workers should not attempt to identify toxic mushroom species using the Internet as erroneous identification can occur. Digital photography may help with mushroom identification when there is likely to be a delay organising a physical examination of mushroom tissue.en_GB
dc.language.isoengen_GB
dc.subject.meshAdolescenten_GB
dc.subject.meshChilden_GB
dc.subject.meshChild, Preschoolen_GB
dc.subject.meshDatabases, Factualen_GB
dc.subject.mesh*Drug Information Servicesen_GB
dc.subject.meshEmergency Service, Hospitalen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshInfanten_GB
dc.subject.meshIreland/epidemiologyen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMushroom Poisoning/*diagnosis/epidemiology/therapyen_GB
dc.subject.mesh*Mycologyen_GB
dc.subject.meshPoison Control Centers/*organization & administrationen_GB
dc.subject.mesh*Professional Competenceen_GB
dc.titleMushroom poisoning in Ireland: the collaboration between the National Poisons Information Centre and expert mycologists.en_GB
dc.contributor.departmentThe National Poisons Information Centre, Beaumont Hospital, Dublin 9, Ireland., nicolacassidy@beaumont.ieen_GB
dc.identifier.journalClinical toxicology (Philadelphia, Pa.)en_GB
dc.description.provinceLeinster-

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