Death by Hemorrhagic Enteritis due to Suspicious Mushroom Poisoning - A Case Report -

Minsung Choi; Seong Ho Kim; Byung Ha Choi; Sohyung Park

doi:10.7580/kjlm.2014.38.1.26

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Choi, Kim, Choi, and Park: Death by Hemorrhagic Enteritis due to Suspicious Mushroom Poisoning - A Case Report -

증례 보고

Korean J Leg Med 2014;38(1):26-29.

Published online: 17 January 2014

DOI: https://doi.org/10.7580/kjlm.2014.38.1.26

Death by Hemorrhagic Enteritis due to Suspicious Mushroom Poisoning - A Case Report -

Minsung Choi¹, Seong Ho Kim¹, Byung Ha Choi², Sohyung Park²

¹Forensic Medical Division, Daejeon Institute of Scientific Investigation, Daejeon, Korea

²Forensic Medical Center, National Forensic Service, Wonju-si, Gangwon, Korea

책임저자 : 최민성 (305-348) 대전광역시 유성구 유성대로 1524, 국립과학수사연구원 대전과학수사 연구소 전화 : +82-42-866-4551 FAX : +82-42-862-8074 E-mail : ecc88@korea.kr

Received 1 December 2013 Revised 7 February 2014 Accepted 19 February 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Mushroom poisoning widely reported in Oriental and Western literature, is typically caused by accidental ingestion of toxic mushrooms that resemble edible mushrooms. Reports about poisoning due to species of Omphalotus, Amanita, Clitocybe, and other toxic mushroom species have been reported; toxicity depends on the mushroom species and the amount of toxin, which varies according to the climatic and environmental conditions. Symptoms of poisoning, such as unspecific nausea, vomiting, and diarrhea, as well as intestinal, hepatic and renal toxicities, also vary according to the mushroom species. Most patients recover with anti-muscarinic therapy and supportive care for nonspecific symptoms; however some cases of poisoning are fatal in children and elderly people. We report a case of sudden death due to mushroom poisoning in a 74-year-old woman, with hemorrhagic enteritis.

Keywords: Key Words, Unexpected death, Hemorrhagic enteritis, Poisoning

REFERENCES

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Fig. 1.

Dark-brown colored small and large intestine with enlarged lymph nodes are seen.

Fig. 2.

The esophagus and stomach are sparing hemorrhagic changes.

Fig. 3.

The intestinal lumen shows hemorrhagic enteritis.

Fig. 4.

The liver and kidney show no pathologic findings.

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