After eating the mushroom pictured, a 15-year-old patient arrives to the emergency department agitated, diaphoretic, and hallucinating, and then acutely becomes more somnolent and less responsive. Which neurotransmitter systems are affected by the toxins contained in this mushroom?
- Acetylcholine and histamine
- Dopamine and norepinephrine
- Gamma-aminobutyric acid (GABA) and N-methyl-D-aspartate (NMDA)
- Glycine and serotonin