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Offlinex7x_x7xS
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MUSHROOM POISONING - THAILAND (02): SI SA KET, AMANITA SPECIES
    #8786112 - 08/17/08 09:32 AM (3 years, 9 months ago)

A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>


Date: 17 Aug 2008
From: Kumnuan Ungchusak <kum@health.moph.go.th>

We were informed by the Provincial Surveillance and Rapid Response
Team (SRRT) of the event [mentioned in PRO/MBDS posting Mushroom
poisoning - Thailand: Si Sa Ket, RFI 20080816.2545]. At present, 4
are still hospitalized, with 2 cases under intensive care but in
stable condition. The appearance of the mushroom is the same as the
"Amanita" family. Mushroom poisonings occur frequently during the
rainy season, which favors the growth of mushrooms. The province has
[begun to] educate the public to avoid eating mushrooms grown in the
fields or forests.

--
Communicated by:
Kumnuan Ungchusak
Director,
Bureau of Epidemiology and International Health Regulation (IHR) Focal Point
Department of Diseases Control
Ministry of Public Health
Tivanonda Road, Nonthaburi 11000
Thailand
<kum@health.moph.go.th>

[PRO/MBDS would like to thank Dr. Kumnuan for his rapid response to
the request for information (RFI) on the newswire report of 13 cases
of mushroom poisoning in Si Sak Ket province. The Amanita family of
mushrooms contains numerous mushrooms known to be highly toxic to
humans. A list of the 17 species of poisonous Amanitas, with their
common names, all found to have worldwide distribution, was obtained
from the University of Adelaide (Australia) clinical toxinology
resources website and is presented below.

1. Amanita bisporigera "The destroying angel"
2. Amanita citrina "False death caps"
3. Amanita cokeri "Coker's Amanita"
4. Amanita cothurnata "Booted Amanita"
5. Amanita flavoconia "Yellow Patches"
6. Amanita flavorubescens "Yellow Blusher"
7. Amanita gemmata
8. Amanita muscaria "Fly Agaric", "Fly Mushroom", "Fly Amanita",
"Satan's Mushroom", "Sacred Mushroom"
9. Amanita ocreata "Destroying angel"
10. Amanita pantherina "Panther" , "Howa mapengu" (South African)
11. Amanita phalloides "Death Cap", "Green Death Cap"
12. Amanita porphyria "Grey brown Amanita", "Purple brown Amanita",
"Flesh skinned Amanita"
13. Amanita proxima
14. Amanita pseudoporphyria
15. Amanita smithiana "Smith's Amanita"
16. Amanita verna "European Springtime Destroying Angel"
17. Amanita virosa "Destroying angel"

For more detailed information on each of the above Amanita species,
if one goes to the above mentioned resource found at:
<http://www.toxinology.com/fusebox.cfm?fuseaction=main.poisonous_mushrooms.results&Common_Names_term=&Phylum_term=&Class_term=&ord_term=&Family_term=&Genus_term=Amanita&Species_term=&countries_terms=®ion_terms=&Toxin_Classification_term=&Primary_Clinical_Eff_term=>
and clicks on the species name, one is linked to another webpage with
detailed information on the species, including photographs of each
species and a "dangerousness index" of each species.

A PubMed search on the Amanita species poisoning in Thailand
identified 2 publications. One was a Danish publication: Hallas J,
Jensen K. [Poisoning with the death cap (Amanita phalloides)] Ugeskr
Laeger. 1988 Apr 18;150(16):975-8 for which no abstract was available.

The 2nd is: Chaiear K. , Limpaiboon R., Meechai C., Poovorawan Y.
Fatal mushroom poisoning caused by Amanita virosa in Thailand.
Southeast Asian Journal of Tropical Medicine and Public Health. 1999,
30(1):157-160 for which an abstract is available:

"Consumption of toxic mushrooms belonging to the genus Amanita
frequently leads to severe gastrointestinal distress followed by
acute hepatic failure with a fatal outcome. In Thailand, valuable
information as to the locally prevalent poisonous species, the
preferred habitat and the management of suspected victims of
intoxication is basically non-existent. We report here 5 cases of
fatal poisoning with Amanita virosa having occurred in a family
residing in the northeast of Thailand who, as countless others also,
had enjoyed mushroom gathering as a pastime. Within 4 to 6 days after
ingestion of the mushrooms, all had succumbed to acute hepatic
failure with subsequent hepatoencephalopathy. Treatment modalities
exist in the form of penicillin and silibinin, or thioctic acid
administration followed by plasmapheresis. In cases taking a lethal
course apparent from the results of liver biochemistry, liver
transplantation is clearly indicated. In order to prevent mushroom
poisoning altogether, educating the general population to that end
certainly presents the method of choice."

For a map of Thailand with provinces, see
<http://www.lib.utexas.edu/maps/middle_east_and_asia/thailand_admin_2005.jpg>.
Si Sak Ket is located in the northeast of the country bordering Cambodia.

For the interactive HealthMap/ProMED map with links to other
ProMED-mail postings in Thailand and neighboring countries, see
<http://healthmap.org/promed?v=15.1,101,5>.
  - Mod.MPP]

[see also:
Mushroom poisoning - Thailand: Si Sa Ket, RFI 20080816.2545
Mushroom poisoning - Laos: Vientiane, RFI 20080607.1821
Mushroom poisoning - Viet Nam: Kon Tum, RFI 20080527.1727]
....................................mpp/msp/mpp


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Re: MUSHROOM POISONING - THAILAND (02): SI SA KET, AMANITA SPECIES [Re: x7x_x7x]
    #8786286 - 08/17/08 10:24 AM (3 years, 9 months ago)



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Invisiblecactu
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Re: MUSHROOM POISONING - THAILAND (02): SI SA KET, AMANITA SPECIES [Re: x7x_x7x]
    #8786556 - 08/17/08 11:29 AM (3 years, 9 months ago)

nice information x7x_x7x


i found funny or strange why they keep listing  toxic especies as if they where deadly , at least citrina ,cokeri,flavoconia,gemnata, muscaria ,pantherina may posees the same coumpounds or only be toxic, not deadly that i know . but for sure caution ,just that sometimes people think  all amanitas are deadly .
1. Amanita bisporigera "The destroying angel"
2. Amanita citrina "False death caps"
3. Amanita cokeri "Coker's Amanita"
4. Amanita cothurnata "Booted Amanita"
5. Amanita flavoconia "Yellow Patches"
6. Amanita flavorubescens "Yellow Blusher"
7. Amanita gemmata
8. Amanita muscaria "Fly Agaric", "Fly Mushroom", "Fly Amanita",
"Satan's Mushroom", "Sacred Mushroom"
9. Amanita ocreata "Destroying angel"
10. Amanita pantherina "Panther" , "Howa mapengu" (South African)
11. Amanita phalloides "Death Cap", "Green Death Cap"
12. Amanita porphyria "Grey brown Amanita", "Purple brown Amanita",
"Flesh skinned Amanita"
13. Amanita proxima
14. Amanita pseudoporphyria
15. Amanita smithiana "Smith's Amanita"
16. Amanita verna "European Springtime Destroying Angel"
17. Amanita virosa "Destroying angel"

did you know  what specie of amanita was the causal of the poisoning?most be a tropical specie not one of the common temperate species.


--------------------

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Re: MUSHROOM POISONING - THAILAND (02): SI SA KET, AMANITA SPECIES [Re: cactu]
    #8786702 - 08/17/08 11:57 AM (3 years, 9 months ago)

I think the Thais should educate their public simply about avoiding Amanita species instead of encouraging a blanket abstinence policy against wild mushrooms. If Amanita virosa is the main problem, they should emphasize avoiding all-white mushrooms, in particular.


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