Çiğdem ECEVİT, Murat HIZARCIOĞLU, Pelin Akgün GERÇEK, Hakan GERÇEK, Ertan KAYSERİLİ, Pamir GÜLEZ, Hurşit APA

ACİL SERVİSE BAŞVURAN MANTAR ZEHİRLENMELERİNİN RETROSPEKTİF OLARAK İNCELENMESİ

Mantar zehirlenmeleri tüm dünyada sıkça görülen önemli bir sorundur. Erişkinlerde mantar zehirlenmeleri tümakut zehirlenme vakalarının yaklaşık %7'sini oluşturmaktadır. Klinik, mantarın cinsine göre hafif bir bulantıkusmadan, karaciğer yetmezliğine kadar değişmektedir.Bu çalışmada, Ocak-Aralık 2002 tarihleri arasında Dr. Behçet Uz Çocuk Hastanesi Acil Servisi'ne mantarzehirlenmesi nedeni ile başvuran 21 olgu retrospektif olarak değerlendirildi. Olguların 11'i (%52) kız, 10'u (%48)erkekti. 21 olgunun 9'unun (%43) 10 yaş ve üzerinde olduğu ve 17'sinin (%81) sonbahar aylarında başvurduğubelirlendi. En sık geliş şikayeti; 17 olguda (%81) bulantı ve kusma, 5 olguda (%24) buna ek olarak ishal idi. 7olguda (%33) kolinerjik semptomlar, 3 olguda karaciğer yetmezlik bulguları ve 6 olguda (%28) nörolojikbulgular vardı. Ölüm 3 olguda (%14) karaciğer yetmezliği nedeni ile olurken 18 olgu (%85) sekelsiz iyileşti.Sonuç olarak, İzmir ili ve çevresindeki mantar zehirlenmelerinin genellikle 10 yaşın üzerinde ve sonbaharaylarında gerçekleştiği ve karaciğer yetmezliği gelişenlerin dışında çoğunlukla sekelsiz iyileştiği saptanmıştır

Anahtar Kelimeler:

Mantar zehirlenmeleri, çocukluk çağı

Evaluation of Musroom Intoxications Presenting at the Emercency Department of Dr. Behçet Uz Children's Hospital

Mushroom toxicity is a worldwide concern. In the adult population, mushroom toxicity constitutes seven percent of all acute intoxications. The clinical feature may vary from mild nausea and vomiting to hepatic insufficiency according to the type of mushroom. In this study, we analyzed 21 patients who were seen at the Emercency Department of Dr. Behçet Uz Chıldren's Hospıtal from January 2002 to December 2002. 11 of the 21 patients (52%) were female and 10 of them (48%)were male. 9 of the 21 patients (43%) were older than 10 years and 17 of the 21 patients (81%) were hospitalized in spring. The most common symptoms were vomiting in 17 patients (81%) and diarrhea in 5 patients (24%). We observed cholinergic symptoms in 7 patients (33%), hepatic insufficiency in 3 patients (14%) and neurologic symptoms in 6 patients (28%). Death occured in 3 patients as a result of hepatic insufficiency and the rest of the patients recovered without any sequelae. Mushroom intoxications in İzmir and envira were mostly diagnosed in children older than 10 years and in spring. Most of the patients recovered without any problems, except patients who developed hepatic insufficiency.

Keywords:

Mushroom toxicity, childhood,

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