On June 14, a representative of Cho Ray Hospital said that in nature there are many types of mushrooms that carry the toxic substance Amanitin, but doctors have not been able to determine exactly which type of mushroom caused the poisoning. The reason why the husband picked many types of mushrooms at the same time and used them all requires further investigation.
Nature magazine quoted the opinion of Helge Bode, a chemist at the Max Planck Institute for Terrestrial Microbiology in Germany, said that Amanitin toxin (also known as alpha-amanitin) is one of the most dangerous compounds found in nature, and cannot be eliminated by cooking, boiling, or any other common cooking method. This substance is commonly found in the death cap mushroom (Amanita phalloides).
After eating mushrooms, about 60% of the alpha-amanitin goes directly to the liver, causing poisoning. The remaining 40% of the alpha-amanitin goes straight to the kidneys, the body's waste-processing organs. Healthy kidneys extract alpha-amanitin from the blood and send it to the bladder. Until the kidneys have eliminated the last of the poison, alpha-amanitin continues to damage the liver. The kidneys can only continue to function if the victim is well hydrated.
If the patient becomes dehydrated, the symptoms may subside, but the poison continues to spread through the body, destroying the liver. If not treated promptly and properly, the victim may experience rapid organ failure, coma, and death.
Previously, a family of three, including a husband, wife, and 17-year-old daughter, in Tay Ninh , picked mushrooms and stir-fried them with squash to eat. About 8-12 hours later, they had stomach pain, vomiting, and diarrhea that became increasingly severe. They were taken to a local hospital for emergency treatment and transferred to Cho Ray Hospital. During the transfer, the husband had difficulty breathing and respiratory failure. He was intubated and given a balloon pump and died in the Emergency Department.
The wife and 17-year-old daughter were in a state of acute liver failure, with very high liver enzymes and blood clotting disorders. The woman's condition became increasingly worse. After three days of treatment, the doctor predicted that she would not survive, so the family asked to take her home and she died at home. The daughter's health improved and she also asked to be discharged from the hospital, following her wish to go home and see her mother one last time.
Their family has a habit of picking mushrooms when the rainy season comes, and has eaten mushrooms many times but has never been poisoned.
The rainy season is the time when mushrooms grow a lot, many people eat them, so poisoning often occurs. Doctors recommend that because it is impossible to distinguish between healthy and poisonous mushrooms based only on shape and color, people should absolutely not pick wild mushrooms to eat.
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