ACMT Toxicology Visual Pearls: Mushroom Mania
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




A middle-aged Asian female presents to the emergency department complaining of 2-3 days of mouth pain. She has chewed betel nut for a number of years. Which of the following is true regarding her presentation and management?