(1.南平市疾病预防控制中心,福建 南平 353000;2.邵武市疾病预防控制中心,福建 邵武 354000)
吴春蕾 女 医师 研究方向为食品安全风险监测E-mail:firstname.lastname@example.org
黄信有 男 副主任医师 研究方向为食品安全风险监测 E-mail:email@example.com
(1.Nanping Center for Disease Control and Prevention, Fujian Nanping 353000, China;2.Shaowu Center for Disease Control and Prevention, Fujian Shaowu 354000, China)
目的 通过对福建省邵武市误食毒蕈引起的两起中毒事件进行现场流行病学调查及实验室毒蕈物种鉴定,为此类中毒事件的及时处置提供科学依据。方法 收集事件病例资料、现场流行病学调查资料和可疑毒蕈样品,进行形态学和内转录间隔区(ITS)分子生物学鉴定,并对事件进行分析处置。结果 2018年9月1～2日,福建省邵武市发生两起毒蕈中毒事件,大埠岗镇1名村民和肖家坊镇2名村民采食毒蕈,于餐后0.5～1.5 h出现恶心、呕吐、大量出汗、头晕、腹痛、腹泻等症状,送医后诊断为毒蕈中毒,以胃肠炎及胆碱中毒为主要表现。入院后及时给予对症支持治疗,3～4 d出院。毒蕈样品经形态学和分子生物学鉴定,确认为奥米粉褶蕈(Entoloma omiense)。结论 两起毒蕈中毒事件均因误食奥米粉褶蕈导致,应加强对此类毒蕈的研究,预防中毒事件发生。
Objective To provide the basis scientific evidence for the timely response of this kind of poisoning incident by field epidemiological investigation and the identification of poisonous mushroom of two poisoning incidents in Shaowu, Fujian Province. Methods Case data, field epidemiological investigation data and suspected poisonous mushroom samples were collected for morphological and internal transcribed spacer molecular biological identification, and the event was analyzed and managed. Results On September 1 and 2,2018, two mushroom poisoning incidents occurred in Dafugang town and Xiaojiafang town, Shaowu City, 3 villagers ate wild mushrooms and suffered from nausea, vomiting, dizziness, excessive sweating, abdominal pain, diarrhea and other symptoms within 0.5 to 1.5 hours after meals. They were sent to the hospital for treatment and diagnosed as mushroom poisoning. Gastroenteritis and choline poisoning were the main poisoning manifestations. After admission, patients were given symptomatic support treatment and discharged from the hospital at 3-4 d. The sample of poisonous mushroom was identified as Entoloma omiense by morphology and molecular biology. Conclusion Two poisoning incidents were caused by eating Entoloma omiense by mistake. The research on this kind of mushroom should be strengthened to prevent the occurrence of this kind of poisoning.