Three of these patients suffered minor sequelae and all recovered completely. No instances of death or major outcomes were reported in any of these years. Mortality and morbidity rate due to secondary effects, such as dehydration, cardiovascular collapse, or emesis-related esophageal tears, is unknown. History of mushroom ingestion is helpful. Raw and cooked mushrooms and the cooking water are capable of producing toxicity through ALDH inhibition.
Symptoms begin within minutes of ethanol ingestion.
Patients may relate symptoms to ethanol, not mushrooms. It is important to ascertain if other species of wild mushrooms were ingested concomitantly and the approximate elapsed time since ingestion. Provide intravenous fluids if GI effects have not abated. Hypotension generally responds to volume expansion with normal saline. Patients with severe hypotension may require vasopressor agents, once volume restoration is insured.