Acute Liver Failure Caused by Amanita phalloides Poisoning

Table 2

Clinical phases of the Amatoxin syndrome.

Phases	Onset from ingestion	Symptoms and signs
Stage 1. Lag phase	0–24 h	Asymptomatic
Stage 2. Gastrointestinal phase	6–24 h	Nausea, vomiting, crampy abdominal pain, and severe secretory diarrhea
Stage 3. Apparent convalescence	24–72 h	Asymptomatic, worsening of hepatic and renal function indices
Stage 4. Acute liver failure	4–9 days	Hepatic and renal failure → multiorgan failure → death