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KCI 등재 SCOPUS
CASE REPORT : An Elderly Man with Fatal Respiratory Failure after Eating a Poisonous Mushroom Podostroma cornu-damae
( Juah Jang ) , ( Cheol Hong Kim ) , ( Jun Jae Yoo ) , ( Mi Kang Kim ) , ( Jae Eun Lee ) , ( Ah Leum Lim ) , ( Jeong Hee Choi ) , ( In Gyu Hyun ) , ( Jung Weon Shim ) , ( Ho Seung Shin ) , ( Joung Ho Han ) , ( Soon Ja Seok )
UCI I410-ECN-0102-2014-500-002062524
* 발행 기관의 요청으로 무료로 이용 가능한 자료입니다.

A 73-year-old, previously healthy man presented with nausea, vomiting, diarrhea, dry mouth and febrile sensation 3 hours after eating boiled wild mushrooms. After admission, he showed progressive severe respiratory distress, pancytopenia, azotemia, hypotension, hypoxemia and consolidation of the entire left lung on chest radiography. With a preliminary diagnosis of necrotizing pneumonia, he underwent left pneumonectomy in order to remove all necrotic lung tissue. Lung histology showed extensive hemorrhagic necrosis, massive inflammatory cell infiltration, prominent proliferation of young fibroblasts and the formation of an early-stage hyaline membrane along the alveolar wall. Despite aggressive treatment, including mechanical ventilation, continuous renal replacement therapy and administration of granulocyte colony stimulating factor and broad spectrum antibiotics, he died on hospitalization day 13. Subsequently, the mushroom was identified as Podostroma cornu-damae. This is the first case of a histological evidence of lung involvement by Podostroma cornu-damae poisoning in Korea.

[자료제공 : 네이버학술정보]
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