Skip to main content

Table 1 Characteristics of three patients at the time of admission

From: Acute liver failure caused by Amanita verna: a case series and review of the literature

Patients

1

2

3

Gender

Male

Male

Female

Age

43

43

34

Time of admission

March 4, 2019

March 4, 2019

The patient was admitted to the hospital on March 9, 2019, and was transferred to Zhongshan hospital, Sun Yat-sen University after coma at about 11 am

Cause of hospitalization

Nausea, vomiting and diarrhea occurred 18 h after eating wild mushrooms

Nausea, vomiting, and diarrhea occurred 18 h after eating wild mushrooms

Vomiting and diarrhea for 7 days, and vomiting for 1 day after eating mushrooms

Previous medical history

Good health, no special problems

Good health, no special problems

Good health. The patient was pregnant twice with one child in the second trimester

Mushroom intake

One bowl

Two bowls (about 20 Amanita) and a bowl of noodle soup (without Amanita)

Three bowls

Four vital signs

T: 37.4 °C, P: 93 times/min, R: 20 times/min, BP: 139/57 mmHg

T: 36.8 °C, P: 75 times/min, R: 16 times/min, BP: 126/76 mmHg

T: 36.8 °C, P: 101 times/min, R: 23 times/min, BP: 131/96 mmHg

Other physical examination items

Mind clear. The skin of the extremities and lips were dry. The abdomen was flat and soft. There was no muscle tension. There was no tenderness or rebound tenderness over entire abdomen. The frequency of bowel sound was 3 times/min

Mind clear. The skin and sclera were yellow, the abdomen was soft, the upper abdomen was tender, and there was no rebound pain. The liver was large, 2 cm below the ribs. There was no edema in the lower limbs, and the muscle strength and muscle tension of the limbs were normal

The patient was in a coma, has no stinging eyes, tingles and bends, and can produce a single tone. The examination was uncooperative, the pupils were symmetrical, the light reflex was slow, and the sclera and skin and mucosa were yellow. Abdominal eminence corresponds to gestational age. Old surgical scar can be seen in the right lower abdomen. The patient did not cooperate with examinations of abdominal tenderness and rebound pain. Bowel sounds are high, about 10 times per minute. Did not cooperate with muscle strength and muscle tension tests of limbs

White blood cells

19.24 × 109/L

8.16 × 109/L

13.31 × 109/L

Percentage of neutrophils

95.4%

77.7%

Platelets

68 × 109/L

48 × 109/L

3P test

Negative (−)

Negative (−)

Positive (+)

d-dimer

1.13 mg/L

39.13 mg/L

ALT

126 U/L

39 U/L

571 U/L

AST

139 U/L

48 U/L

119 U/L

Blood ammonia

138.8 μmol/L

Prothrombin time and ratio

11.5 s; 0.96

16.9 s; 1.41

Fibrinogen

1.39 g/L

1.44 g/L

1.51 g/L

Total bilirubin

23.9 μmol/L

195.7 μmol/L

Cardiopulmonary

No abnormalities

Abdomen

There was gallbladder after meals. No obvious abnormalities in liver and spleen. The pancreas was unclear. No obvious abnormalities were found in kidneys and ureters