Magic truffle intoxication: A case report
Brendan Le Daré, Romain Pelletier, Aurélien Couette, Isabelle Morel, Thomas Gicquel
Emergency Care Journal June 27, 2022 DOI: 10.4081/ecj.2022.10347 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Case study Case report Peer reviewed |
|---|---|
| Sample size | 1 |
| Population | 20-year-old man |
| Duration | 10 hours post-ingestion |
| Keywords | Euphoriant Hallucinogen Magic telescope Mushroom poisoning Emergency department Poison control Medical emergency |
| Citations | 1 |
| Key findings | Recognition of unusual forms of hallucinogenic mushrooms by emergency physicians may improve diagnosis and management of intoxication. |
Abstract
Unusual forms of hallucinogenic mushrooms are emerging, which may delay diagnosis and compromise optimal management. Here, we discuss clinical and biological findings in a case of “magic mushroom” intoxication in a 20-year-old man who was brought to hospital emergency department in a state of euphoria, disorientation, intense visual hallucinations, episodic amnesia and agitation requiring physical restraint. The patient’s family brought intact specimens of the consumed product, without any health professional being able to identify it. Toxicological screening detected psilocin in urine and in the unknown mushrooms, allowing guiding the mushroom identification towards the Psilocybes genus. Ten hours post-ingestion, the patient was discharged asymptomatic. We believe that recognition of the unusual form of hallucinogenic mushroom presented here by emergency physicians might contribute to better diagnosis and subsequent optimal management, especially since hallucinogenic substances are not routinely tested in toxicological analyses.