Severe Hepatotoxicity in Mushroom Poisoning by Lepiota brunneoincarnata from Complete Recovery to Liver Transplantation: A Case Series with Review on Liver Function Tests and Liver Histopathology

Table 1

Demographic and clinical data of cases with mushroom poisoning.

Case no.	Age (y/o)	Sex	Latent period (hrs)	Admission days	Past history	Clinical presentation	Medication	Outcome
1	30	M	8	10	Opium addict/alcohol drinker	N/V, abdominal pain	Ondansetron/pantoprazole; Lactulose	Recovery
2	55	F	7	13	DM/HTN	N/V, diarrhea, and decreased LOC	Pantoprazole/lactulose; Metronidazole/NAC; Cefotaxime	Expired after liver transplantation
3	47	F	6	8	Nonsignificant	N/V, abdominal pain, and decreased LOC	Lactulose; Rifaximin	Expired (after 2 days of admission)
4	32	F	10	6	Nonsignificant	N/V, abdominal pain	Ondansetron/pantoprazole; Lactulose	Recovery
5	67	M	6	5	IHD/alcohol drinker	Decreased LOC	Pantoprazole/lactulose; Cefotaxime/metronidazole; Meropenem/vancomycin; NAC	Expired after liver transplantation
6	49	M	7	49	Nonsignificant	Decreased LOC	Pantoprazole/imipenem	Recovery after liver transplantation
7	55	F	6	6	Nonsignificant	N/V, Lethargy/icterus	Ondansetron/pantoprazole; Lactulose/metronidazole; Ceftriaxone	Recovery
8	21	F	8	7	Pregnant GA: 20 (wks)	N/V	Pantoprazole/lactulose; Ceftriaxone	Recovery
9	66	F	9	4	Nonsignificant	N/V, abdominal pain	Ondansetron/pantoprazole; Lactulose/NAC	Recovery
10	40	F	8	7	Nonsignificant	N/V, diarrhea	Ondansetron/pantoprazole; Lactulose/metronidazole	Recovery
11	52	M	11	5	Nonsignificant	N/V, abdominal pain	Ondansetron/lactulose	Recovery
12	30	F	10	5	Nonsignificant	N/V, abdominal pain	Ondansetron/lactulose	Recovery
13	37	M	10	2	Nonsignificant	N/V	Ondansetron/lactulose	Recovery
14	44	M	8	3	Nonsignificant	N/V, abdominal pain	Ondansetron/lactulose	Recovery
15	50	M	12	4	Nonsignificant	N/V	Ondansetron/lactulose	Recovery
16	59	M	12	6	DM	N/V	Ondansetron/lactulose	Recovery
17	28	F	10	5	Nonsignificant	N/V, abdominal pain	Ondansetron/lactulose	Recovery
18	18	F	10	3	Nonsignificant	N/V, abdominal pain	Ondansetron/lactulose	Recovery

N/V: nausea and vomiting; DM: diabetes mellitus; HTN: hypertension; LOC: level of consciousness; IHD: ischemic heart disease; GA: gestational age; NAC: N-acetyl cysteine.