一起误食光硬皮马勃中毒事件调查
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(1.楚雄彝族自治州人民医院,云南 楚雄 675000;2.中国疾病预防控制 中心职业卫生与中毒控制所,北京 100050)

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钟加菊 女 主管药师 研究方向为蘑菇中毒 E-mail: 1173884579@qq.com 姚群梅 女 主任医师 研究方向为蘑菇中毒 E-mail: 18987838279@163.com

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云南省科技计划项目重大科技专项(2018ZF009);云南省地方高校联合专项(202001BA070001-046)


An investigation of food poisoning by mistaken eating of Scleroderma cepa
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(1.The People's Hospital of Chuxiong Yi Autonomous Prefecture, Yunnan Chuxiong 675000, China;2.National Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing 100050, China)

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    摘要:

    目的 对2019年9月4日发生在云南省楚雄彝族自治州的一起误食光硬皮马勃中毒事件进行调查分析,明确中毒原因,总结中毒特点及救治方法,为该蘑菇中毒事件的处置提供借鉴。方法 收集中毒病例资料、进行流行病学调查、对蘑菇样品进行形态学和分子生物学鉴定。结果 2例患者各进食了约50 g购买于市场的马勃后,出现了腹痛、恶心、呕吐、腹泻及低血压的症状,潜伏期0.5~1 h,经过对症治疗后好转出院。蘑菇标本经形态学和分子生物学鉴定为光硬皮马勃。结论 此次事件是因误食光硬皮马勃引起的急性中毒事件。光硬皮马勃与可食用的云南硬皮马勃外形相似,常因误食而中毒。鉴于很多毒蘑菇与一些食用菌形态上极为相似而导致误采误食,建议不要随意采食野生蘑菇。

    Abstract:

    Objective To investigate Scleroderma cepa poisoning incident on September 4th 2019 in Chuxiong County, Yunnan Province, analyze the causes of the incident and summarize the clinical experience, and to provide reference for the treatment of mushroom poisoning. Methods Data collection, epidemiological investigation, morphological and phylogenetic identification were taken to analyze the poisoning event. Results Two patients complained of abdominal pain, nausea, vomiting, diarrhea with hypotension 0.5-1 h after ingesting the poisonous mushrooms, who were discharged after symptomatic treatment. The mushroom was identified as Scleroderma cepa by morphological and phylogenetic identification. Conclusion This incident was a mushroom poisoning caused by accidental ingestion of Scleroderma cepa, which was similar to edible Scleroderma yunnanense. As most mushroom poisoning cases were resulted from the consumption of poisonous mushrooms which were very similar to edible mushrooms in morphology, it is recommended not to collect and eat wild mushrooms.

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钟加菊,李海蛟,章轶哲,余成敏,蒲艳,彭建明,杨欢,姚群梅.一起误食光硬皮马勃中毒事件调查[J].中国食品卫生杂志,2021,33(5):616-619.

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  • 收稿日期:2020-12-14
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  • 在线发布日期: 2021-10-14
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