![]() Public health campaigns are commonplace in the ACT in summer and autumn ("mushroom season"). Cases have also been reported in Victoria. phalloides grows in the Australian Capital Territory, particularly in the older suburbs of Canberra (which has been attributed to imported oak trees). In Australia, most occur in Canberra as A. Ongoing public health campaigns are required.Īmanita phalloides ("deathcap" or "whitecap") is a cyclopeptide variety of mushroom that is responsible for more than 90% of mushroom-related fatalities one mushroom cap can cause fulminant hepatic failure and death in an adult. ![]() phalloides poisoning in this case series was high despite treatment according to current standards, including use of silibinin, and the frequency of hepatotoxicity was more than double that for the previous decade. Eight of the patients with probable poisoning were not long-term residents of the ACT, and six were immigrants from Asia. Maintaining silibinin supply became a challenge during two clusters of poisoning. Silibinin was administered to nine of those with probable poisoning (the other presented before 2005). Eight of those with probable poisoning developed significant hepatotoxicity and four died. phalloides poisoning, 10 with probable poisoning and two with possible poisoning. Twelve patients presented with a history suggesting A. Main outcome measuresįrequency of poisoning and the clinical outcomes. phalloides poisoning between 19 (identified from hospital records and calls to the New South Wales Poisons Information Centre). Retrospective case series of patients admitted to public hospitals in Canberra and Sydney for suspected A. To report the frequency and clinical outcomes of Amanita phalloides poisoning in the Australian Capital Territory and New South Wales, and the treatments used (including silibinin). Professorial Medicine Unit, Prince of Wales Hospital, University of New South Wales, Sydney, 2013 198: 43-47 doi: 10.5694/mja12.11180.Australian National Liver Transplantation Unit, Royal Prince Alfred Hospital, Sydney, NSW.New South Wales Poisons Information Centre, Children's Hospital at Westmead, Sydney, NSW. ![]() Buckley, MD, FRACP, Clinical Toxicologist 1, and Professor 4 Strasser, MD, FRACP, Clinical Associate Professor and Hepatologis 3 Falkland, BPharm, Senior Pharmacist, Medicines Information Centre 2 Hall, FACEM, Clinical Director, Department of Emergency Medicine 2 Roberts, PhD, FRACP, Clinical Toxicology Fellow 1
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