He was discharged from the hospital 15 days after the ingestion. Amanita species have two types of oligo-peptide toxins. The mother had also eaten the mushrooms but was in good condition. This might be due to the fact that amongst the singly fried mushrooms, the nonpoisonous ones were eaten by the mother . Although, our patient did not experience renal failure, we performed PE at late period.
PE appears to be effective in patients with acute hepatic failure.
It is proposed that in case of amanita poisoning with acute hepatic failure and heptaic encephalopathy, beside the standard therapy, PE may be a good therapeutic approach. Gastroenteroloji Untiesi 06100, Ankara, Turkey. Amanita mushroom poisoning in a gulf coast family. Valbonesi M. Apheresis in acute liver failure. Iwai H, Nagaki M, Naito T. Removal of endotoxin and cytokines by plasma exchange in patients with acute hepatic failture.