A 15-year-old male presents symptomatic several hours after inhaling spores of this mushroom as a home remedy for epistaxis. What is the presentation and pathophysiology of the toxic syndrome associated with this mushroom?
For a video of this mushroom in action: https://youtu.be/G_DXTlvvsco
Answer: 1. Dyspnea and cough from hypersensitivity alveolitis due to inhalation of spores from Lycoperdon or Calvatia spp, also known as puffball mushrooms.
What is Lycoperdonosis?
Treatment is supportive with oxygen, bronchodilators, antihistamines, and potentially systemic steroids and antifungals.
The American College of Medical Toxicology hosts this Toxicology Visual Pearls series.