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Ulcerating Ileocolitis in Severe Amatoxin Poisoning
Joint Authors
Hilty, Matthias Peter
Halama, Marcel
Zimmermann, Anne-Katrin
Geier, Andreas
Maggiorini, Marco
Source
Case Reports in Gastrointestinal Medicine
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-08-18
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Amatoxin poisoning is still associated with a great potential for complications and a high mortality.
While the occurrence of acute gastroenteritis within the first 24 hours after amatoxin ingestion is well described, only very few descriptions of late gastrointestinal complications of amatoxin poisoning exist worldwide.
We present the case of a 57-year-old female patient with severe amatoxin poisoning causing fulminant but reversible hepatic failure that on day 8 after mushroom ingestion developed severe abdominal pain and watery diarrhea.
Ulcerating ileocolitis was identified by computed tomography identifying a thickening of the bowel wall of the entire ileum and biopsies taken from the ileum and large bowel revealing distinct ileitis and proximally accentuated colitis.
The absence of discernible alternative etiologies such as infectious agents makes a causal relationship between the ulcerating ileocolitis and the amatoxin poisoning likely.
Diarrhea and varying abdominal pain persisted over several weeks and clinical follow-up after six months showed a completely symptom-free patient.
The case presented highlights the importance to consider the possibility of rare complications of Amanita intoxication in order to be able to respond to them early and adequately.
American Psychological Association (APA)
Hilty, Matthias Peter& Halama, Marcel& Zimmermann, Anne-Katrin& Maggiorini, Marco& Geier, Andreas. 2015. Ulcerating Ileocolitis in Severe Amatoxin Poisoning. Case Reports in Gastrointestinal Medicine،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058555
Modern Language Association (MLA)
Hilty, Matthias Peter…[et al.]. Ulcerating Ileocolitis in Severe Amatoxin Poisoning. Case Reports in Gastrointestinal Medicine No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1058555
American Medical Association (AMA)
Hilty, Matthias Peter& Halama, Marcel& Zimmermann, Anne-Katrin& Maggiorini, Marco& Geier, Andreas. Ulcerating Ileocolitis in Severe Amatoxin Poisoning. Case Reports in Gastrointestinal Medicine. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058555
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1058555