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

Author information

Yoichi IWAFUCHI
The Department of Internal Medicine, Koseiren Sanjo General Hospital
Takashi MORITA
The Department of Pathology, Shinrakuen Hospital
Hideyuki KOBAYASHI
The Department of Internal Medicine, Koseiren Sanjo General Hospital
Kensaku KASUGA
The Department of Internal Medicine, Koseiren Sanjo General Hospital
Kazuhisa ITO
The Department of Internal Medicine, Koseiren Sanjo General Hospital
Osamu NAKAGAWA
The Department of Internal Medicine, Koseiren Sanjo General Hospital
Kaoru KUNISADA
The Department of Internal Medicine, Koseiren Sanjo General Hospital
Shigeru MIYAZAKI
The Department of Internal Medicine, Kidney Center, Shinrakuen Hospital
Akira KAMIMURA
The Department of Internal Medicine, Koseiren Sanjo General Hospital

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

Details

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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