Fly agaric (
) poisoning,case report and review
, Dorota Pach, Beata Butryn, Piotr Hydzik,Barbara Balicka-S´lusarczyk
Department of Clinical Toxicology, Poison Information Center, Collegium Medicum, Jagiellonian University,Os. Złotej Jesieni 1, 31-826 Krako´ w, Poland
Received 12 November 2004; accepted 10 January 2005Available online 14 April 2005
Gathering and eating mushrooms and other plants containing psychoactive substances has become increasingly popularamong young people experimenting with drugs. Dried ﬂy agaric
fruiting bodies were eaten by ﬁve youngpersons (18–21 years of age) at a party in order to evoke hallucinations. Visual and auditory hallucinations occurred in four of them, whereas a 18-year-old girl lost consciousness. The following morning, she went to the Clinic of Toxicology. Due to thefact that notall the active substances present inthe ﬂyagaric havebeen identiﬁed, and some of them have an effect after a periodof latency, the patient was admitted for several days of observation during which check-up examinations were performed. Afterfour days without any problems, she was discharged. The poisoning regressed with no organ complications. The remainingpersons who had eaten the ﬂy agaric were free from any complaints.
2005 Elsevier Ltd. All rights reserved.
Keywords: Amanita muscaria
; Fly agaric; Mushroom poisoning
Man has been taking drugs for thousands of years.People have always been interested in substances that havean effect on the mood, perception and the cognition of a newreality. The psychotropic properties of
have been known since ancient times. The use of the ﬂyagaric is connected with mysticism. In Poland, there areplants such as
and hallucinogenicmushrooms that have become an increasingly frequentcause of poisoning, especially in young persons whoexperiment with psychoactive substances. In summer andautumn, mushroom poisoning is a frequent cause of hospitalisation in the Clinic of Toxicology (Satora, 2004).In Poland, the ﬂy agaric cannot be mistaken for any othermushroom.
is commonly found in birch andconiferous tree forests throughout Poland from July toNovember. Its fruiting bodies reach up to 200 mm in height,whereas its caps—even up to 200 mm in diameter. Flyagaric poisoning happens accidentally, especially in chil-dren; however, it is also a cause of deliberate poisoning.Recently, toxicological centres have increasingly dealt withthe practices of getting intoxicated through drinkinginfusions made from those mushrooms or eating the wholefruiting bodies.
2. Case study
Six large fruiting bodies of the ﬂy agaric were gatheredin a city park in Krako´w one morning. The persons whogathered them used a key to mushrooms. Then the caps were
2005 Elsevier Ltd. All rights reserved.doi:10.1016/j.toxicon.2005.01.005
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48 12 64 68 905.
email@example.com (L. Satora).