Red fly agaric poisoning is rare, but can occur from suicidal ingestion or for psychedelic effects. A young man fell into a coma after eating the mushrooms. Rapid identification of the poison, early gastric lavage, and symptomatic treatment led to symptom regression and hospital discharge on the third day. The authors discuss the poisonous alkaloids ibotenic acid, muscimol, muscasone, and muscarine, and their properties responsible for intoxication symptoms.
Rhabdomyolysis, though rare, is a serious complication that can arise from various diseases, including poisonings, which are more common causes than trauma. This case report describes a patient who developed exceptionally severe rhabdomyolysis, with creatine kinase levels reaching 516,455 U/L, after ingesting a small dose of a novel psychoactive substance called "Alice in Wonderland." Laboratory analysis confirmed the substance using a validated LC-MS/MS method on a whole blood sample.