알광대버섯 중독에 의한 급성신부전 1예 = Acute Renal Failure induced by Amanita phalloides Poisoning : A Case Report

다국어 초록 (Multilingual Abstract)

The most of mushroom poisoning manifests self-limited features including gastrointestinal symptoms. However some kinds of mushrooms including Amanita phalloides can be seriously toxic and even be fatal. Although some cases in terms of mushroom poisoning have been reported in Korea, the most of them makes reports on the other types of mushrooms especially Amanita virosa. A case report of acute renal failure complicated by Amanita phalloides poisoning may not be found in Korea so far.
A 55 year-old man admitted hospital because of oliguria and nausea. He ingested wild mushroom 5 days before admission. Identification of ingested mushroom was made by a pictorial directory. Laboratory findings showed an elevation of BUN and serum creatinine suggesting acute renal failure. Emergency hemodialysis was performed and maintained for a period of three weeks. Kidney biopsy made on 12th hospital day showed detachments of epithelial cells and inflammatory cells infiltrations with edema in interstitium suggesting acute interstitial nephritis and acute tubular necrosis. From 25th hospital day, no more hemodialysis was offered with a recovery of renal function. Patient discharged on 35th hospital day with a nearly stable renal function. I hereby report a case of acute renal failure complicated by Amanita phalloides poisoning with review of literature.