Case Report
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 26, 2019; 7(16): 2330-2335
Published online Aug 26, 2019. doi: 10.12998/wjcc.v7.i16.2330
Cardiac arrhythmias and cardiac arrest related to mushroom poisoning: A case report
Shu Li, Qing-Bian Ma, Ci Tian, Hong-Xia Ge, Yang Liang, Zhi-Guo Guo, Cheng-Duo Zhang, Bei Yao, Jia-Ning Geng, Fran Riley
Shu Li, Qing-Bian Ma, Ci Tian, Hong-Xia Ge, Yang Liang, Zhi-Guo Guo, Department of Emergency Medicine, Peking University Third Hospital, Beijing 100191, China
Cheng-Duo Zhang, Department of Cardiology, Peking University Third Hospital, Beijing 100191, China
Bei Yao, Department of Laboratory Medicine, Peking University Third Hospital, Beijing 100191, China
Jia-Ning Geng, Beijing Institute of Genomics, Chinese Academy of Sciences, Beijing 100101, China
Fran Riley, Department of Emergency Medicine, Maimonides Medical Center, Brooklyn, NY 11219, United States
Author contributions: Li S and Tian C carried out the initial diagnosis and resuscitation; Ma QB, Ge HX, Liang Y, Guo ZG, and Tian C also played essential roles in providing critical healthcare throughout the hospital stay and clinical follow-up of the patient; Geng JN performed genome analysis of the mushrooms; Ma QB and Li S conceived the idea of possible publication of the case; Li S and Riley F were major contributors in the literature research and in the process of writing the manuscript; all authors read and approved the final manuscript.
Informed consent statement: Written informed consent was obtained from the patient for anonymized information to be published in this article.
Conflict-of-interest statement: The authors declare that there is no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Qing-Bian Ma, MD, Associate Professor, Chairman, Chief Physician, Department of Emergency Medicine, Peking University Third Hospital, No. 49 North Garden Road, Haidian District, Beijing 100191, China. maqingbian@bjmu.edu.cn
Telephone: +86-10-82266699 Fax: +86-10-82264019
Received: May 10, 2019
Peer-review started: May 14, 2019
First decision: June 12, 2019
Revised: June 14, 2019
Accepted: June 26, 2019
Article in press: June 27, 2019
Published online: August 26, 2019
Processing time: 107 Days and 20.5 Hours
Core Tip

Core tip: Critical or even fatal mushroom poisonings are mostly attributable to Amanita phalloides, with severe liver or renal failure developing. Myocardial injury was reported previously while cardiac arrhythmias of multiple origins or cardiac arrest are definitely rarely seen or reported in the literature. Also, this is the first time that we found cardiac toxicity caused by Panaeolus subbalteatus and Conocybe lactea, which were believed to be hepatic, renal, and brain toxic.