Delayed Onset Acute Renal Failure Associated with Amanita pseudoporphyria HongoIngestion

Yoichi IWAFUCHI; Takashi MORITA; Hideyuki KOBAYASHI; Kensaku KASUGA; Kazuhisa ITO; Osamu NAKAGAWA; Kaoru KUNISADA; Shigeru MIYAZAKI; Akira KAMIMURA

doi:10.2169/internalmedicine.42.78

Delayed Onset Acute Renal Failure Associated with Amanita pseudoporphyria HongoIngestion

Yoichi IWAFUCHI, Takashi MORITA, Hideyuki KOBAYASHI, Kensaku KASUGA, Kazuhisa ITO, Osamu NAKAGAWA, Kaoru KUNISADA, Shigeru MIYAZAKI, Akira KAMIMURA

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Keywords: acute renal failure, Amanita pseudoporphyria Hongo, mushroompoisoning, nephrotoxin, allenic norleucine (2-amino-4, 5-hexadienoic acid)

JOURNAL FREE ACCESS

2003 Volume 42 Issue 1 Pages 78-81

DOI https://doi.org/10.2169/internalmedicine.42.78

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Abstract

A 66-year-old man with diabetes developed acute renal failure after ingestion of Amanita pseudoporphyria Hongo. Laboratory data showed acute nonoliguric renal failure. A renal biopsy showed acute tubular necrosis with glomerular minor abnormalities. He received hemodialysis treatment for 3 weeks and his renal function normalized 2 months after admission. Wediscuss the differences in acute renal failure caused by possible toxins of Amanita pseudoporphyria Hongo from that caused by other poisonous mushrooms.
(Internal Medicine 42: 78-81, 2003)

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