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
- Dyspnea and cough from hypersensitivity alveolitis
- Flushing, nausea and vomiting from acetaldehyde accumulation
- Nausea, vomiting and hepatoxicity from RNA synthetase inhibition
- Seizures from reduced GABA production in the central nervous system
This post has been reviewed on behalf of ACMT by Brent Furbee, Bryan Judge, and Louise Kao.