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Amanita muscaria and Amanita pantherina poisoning: two syndromes.

Andreja Vendramin, Miran Brvar

Toxicon : official journal of the International Society on Toxinology November 1, 2014 DOI: 10.1016/j.toxicon.2014.08.067 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational cohort Peer reviewed
Sample size 49
Population Patients poisoned by Amanita muscaria or Amanita pantherina
Keywords Agitation Amanita muscaria Amanita pantherina Coma Confusion Poisoning
Key findings Amanita muscaria poisoning more often causes confusion and agitation, while Amanita pantherina poisoning more often causes coma.

Abstract

Amanita muscaria contains more excitatory ibotenic acid and less depressant muscimol compared to Amanita pantherina. In this study A. muscaria poisoned patients were more often confused (26/32, p = 0.01) and agitated (20/32, p = 0.03) compared to those poisoned with A. pantherina (8/17 and 5/17). Patients poisoned with A. pantherina were more commonly comatose (5/17) compared to those poisoned with A. muscaria (2/32) (p = 0.03). In conclusion, the so-called ibotenic or pantherina-muscaria syndrome might be divided into two subtypes.