Mushroom poisoning

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Mushroom poisoning refers to symptoms that can vary from slight gastrointestinal discomfort to death resulting from ingestion of toxic substances present in a mushroom. The toxins present are metabolic by-products produced by the fungus. Typically, mushroom poisoning is the result of a gatherer of wild mushroom mistakenly identifying a toxic mushroom as a non-toxic or edible species. Because some edible and poisonous fungi have very similar appearances, mistakes are usually the result of misidentification based on superficial characteristics. Even very experienced wild mushroom gatherers are sometimes poisoned, despite being well aware of the risks.

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No golden rule for safety

There are many folklores providing misleading tips on defining features of poisonous mushrooms, such as:

  • Having bright flashy colours. (Truth: some very toxic ones are pure white, such as the Destroying Angel).
  • Lack of snail or insect infestation. (Truth: while a fungus may be harmless to invertebrates, it could be toxic to humans. The Death Cap for instance is often perforated by insect larvae).
  • Becomes black when touched by silverware or an onion. (Truth: most mushrooms tend to darken as they wither).
  • Poisonous mushrooms smell and taste horrible. (Truth: some poisonous mushrooms actually taste delicious, according to victims, and one brave person once cooked a whole meal with the Destroying Angel, tasting pieces, whereafter spitting them out; he confirmed it tasted rather good).
  • Any mushroom becomes safe if cooked enough. (Truth: the chemical structure of some toxins is very stable, even at high temperature).

In reality, there are no simple guidelines to identify poisonous mushrooms. The only completely foolproof rule for preventing mushroom poisoning is of course abstinence — it's better to be safe than sorry: "when in doubt, throw it out". In general, being experienced, having both taxonomic and distributional knowledge, and not taking chances is the only way of minimizing the obvious risk. Some academic mycologists in fact do not eat wild mushrooms, despite their professional knowledge, and very knowledgeable collectors are sometimes poisoned.

Persons who gather wild mushrooms should follow some practical guidelines (see Mushroom hunting). In particular, they should NOT:

  • eat any mushroom they cannot positively identify;
  • allow small children to gather mushrooms for consumption;
  • mix known edibles with questionable species while gathering, since parts may break off and intermix.

In addition:

  • all wild mushrooms must be thoroughly cooked before eating;
  • alcohol consumption should be limited when eating wild mushrooms as some species can cause an adverse reaction;
  • portions should be kept small - no more than 150 grams per person at one sitting.

An experienced mycologist or mushroom picker will know what mushrooms have dangerous look-a-likes that might cause confusion resulting in an accidental poisoning. In Europe, especially in forested regions, many people have local knowledge of one or two fungi that have been picked and eaten for generations and used in the regional cuisine. In Italy and France, several species of Porcini, for instance, have been picked and enjoyed at least since Roman times. These are the genus Boletus, which can be identified by the fact that they have pores rather than Gills, species for which few common lethal look-a-likes exist.

As mentioned, however, specimens looking similar to known edibles at home may be deadly in another place and should not be collected without good local knowledge of the biota. For instance, the tasty Cantharellus is enjoyed by many people in Scandinavia where no risk of confusing this mushroom with deadly species exists. However, in North America, this mushroom is easily mistaken for a Jack O' Lantern mushroom (Omphalotus illudens). Note also recent reports of confusion between Volvariella speciosa, a popular edible species in Asia, and Amanita phalloides, a deadly poisonous species in North America.

Another common problem derives from the fact that developing (just forming) mushrooms of the highly dangerous Destroying Angel very much resemble the well-known champignon (the mushroom widely sold in markets and used on pizzas). Similarities between these species lead to a few deaths every year in Scandinavia alone.

Recommendations that one should follow:

  • Know the characteristics (shape, color, growing terrain, etc...) of all the toxic mushrooms growing in your area. In Europe and North America, these include the deadly Amanita phalloides and Amanita virosa, as well as the Amanita pantherina and Amanita muscaria; but this list is not exhaustive, and any unknown mushroom must be treated as dangerous.
  • Stick to collecting mushroom species you know and that have no risk of being confused with toxic species.

Poisoning by Amanita phalloides (the Death Cap) is characterised by a delay of between 6 and 24 hours from the time of ingestion to the onset of symptoms. During this time, the cells of the kidneys and liver are attacked. There is no antidote for poisoning by Amanita phalloides, and mortality is between 50 and 90 per cent.

Symptoms

Serious symptoms do not always occur immediately after eating; often not until the toxin attacks the kidney, from minutes to hours later. In rare cases, symptoms leading to death may not appear for days after eating a poisonous mushroom. Symptoms typically include:

If treated promptly, death can usually be avoided. Otherwise, with some toxins, death could result within a week or a few days, if the species ingested is a potent one.

Poisonous species

Three of the most lethal mushrooms are from the genus Amanita: the Death Cap (A. phalloides), Destroying Angel (Amanita virosa, and Amanita verna) and two are from the genus Cortinarius: the Deadly webcap (C. rubellus), and the Fool's webcap (C. orellanus). These species cause the greatest number of fatalities. The principal toxin in the genus Amanita is alpha-amanitin and orellanin in the genus Cortinarius.

The following species may cause great discomfort, but are less often lethal.

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