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首页> 外文期刊>Clinical toxicology: the official journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists >Mushroom poisoning in Ireland: the collaboration between the National Poisons Information Centre and expert mycologists.
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Mushroom poisoning in Ireland: the collaboration between the National Poisons Information Centre and expert mycologists.

机译：爱尔兰的蘑菇中毒：国家毒物信息中心和专业真菌学家之间的合作。

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BACKGROUND: Occasionally, mycologist assistance is requested to reliably identify mushroom species in symptomatic cases where there is a concern that a toxic species is involved. The aim of this study was to describe the epidemiology of mushroom poisoning in Ireland, to describe the working arrangement between the National Poisons Information Centre (NPIC) and professional mycologists and to present a case series detailing the circumstances when mycologists were consulted. METHODS: Computerised records from 1 January 2004 to 31 December 2009 were retrospectively reviewed and data on patient demographics, circumstances, and mushroom species collated. In 1999, the NPIC established a national registry of volunteer professional mycologists who are available 24 h/day for mushroom identification. The NPIC staff liaises directly with the mycologist and arranges transport of mushroom material. Digital photographic images are requested if there is likely to be a delay in arranging transportation of mushroom material, and the images are subsequently emailed to a mycologist. Five cases of suspected mushroom poisoning were chosen to demonstrate the inter-professional collaboration between the NPIC and mycologists. RESULTS: From 2004 to 2009, the NPIC was consulted about 70 cases of suspected mushroom exposures. Forty-five children ingested unknown mushrooms, 12 adults and 2 children ingested hallucinogenic mushrooms and 11 adults ingested wild toxic mushrooms that were incorrectly identified or confused with edible species. The mycologists were consulted 10 times since 1999. In this series, Amanita species were identified in two cases. In three cases, the species identified were Clitocybe nebularis, Coprinus comatus and Panaeolina foenisecii, respectively, and serious poisoning was excluded. Incorrect mushroom identification by a health care professional using the Internet occurred in two cases. The mycologists assisted Poisons Information Centres in Northern Ireland and the United Kingdom in two cases. Digital photographs facilitated tentative mushroom identification in two cases. CONCLUSION: Poison information centres should maintain a registry of expert mycologists who are available for consultation following potentially serious mushroom intoxications. Health care workers should not attempt to identify toxic mushroom species using the Internet as erroneous identification can occur. Digital photography may help with mushroom identification when there is likely to be a delay organising a physical examination of mushroom tissue.
机译：背景：有时，在担心涉及有毒物种的症状性病例中，要求真菌科医师协助可靠地鉴定蘑菇种。这项研究的目的是描述爱尔兰蘑菇中毒的流行病学，描述国家毒物信息中心（NPIC）与专业真菌学家之间的工作安排，并提出一系列病例，详细说明咨询真菌学家的情况。方法：回顾性分析了2004年1月1日至2009年12月31日的计算机记录，并整理了有关患者人口统计学，情况和蘑菇种类的数据。 NPIC在1999年建立了一个国家志愿人员专业真菌学家登记处，他们每天24小时都可以进行蘑菇鉴定。 NPIC的工作人员直接与真菌学家联络，并安排蘑菇材料的运输。如果蘑菇材料的运输可能会延迟，则需要数字摄影图像，然后将图像通过电子邮件发送给真菌学家。选择了五例怀疑蘑菇中毒的病例，以证明NPIC和真菌学家之间的专业合作。结果：从2004年到2009年，向NPIC咨询了约70例蘑菇可疑暴露病例。四十五名儿童摄入了未知的蘑菇，十二名成人和两名儿童摄入了致幻性的蘑菇，十一名成人则摄入了误判或与食用物种混淆的野生有毒蘑菇。自1999年以来，曾向真菌学家进行了10次咨询。在此系列中，在2例病例中鉴定出了鹅膏菌。在三起案件中，确定的物种分别是星云克氏菌，鸡腿菇和火棘泛菌，并排除了严重的中毒事件。卫生保健专业人员使用Internet识别蘑菇不正确的情况有两种。毒理学家协助了北爱尔兰和联合王国的毒物信息中心，有两个案例。数码照片有助于在两种情况下对蘑菇进行初步鉴定。结论：毒物信息中心应建立一个真菌专家名录，在可能发生严重的蘑菇中毒事件后可以进行咨询。卫生保健工作者不应尝试使用Internet来识别有毒蘑菇种，因为会发生错误的识别。当组织蘑菇组织的身体检查可能会出现延迟时，数码摄影可能有助于蘑菇的识别。

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