PMID- 33872678
OWN - NLM
STAT- MEDLINE
DCOM- 20210624
LR  - 20210624
IS  - 1879-3150 (Electronic)
IS  - 0041-0101 (Linking)
VI  - 197
DP  - 2021 Jul 15
TI  - Extracorporeal membrane oxygenation combined with sequential blood purification 
      in the treatment of myocardial damage and cardiac arrest caused by mushroom 
      poisoning.
PG  - 65-69
LID - S0041-0101(21)00115-X [pii]
LID - 10.1016/j.toxicon.2021.04.011 [doi]
AB  - Mushroom poisoning is a common clinical problem. Severe mushroom poisoning often 
      causes liver and kidney failure. Although severe myocardial damage is rare, the 
      fatality rate is extremely high. This case report describes a 56-year-old male 
      suffered severe myocardial damage, multiple organ dysfunction, circulatory 
      failure, recurrent malignant arrhythmia, and cardiac arrest after the ingestion 
      of wild mushrooms. He was administered venoarterial extracorporeal membrane 
      oxygenation (VA-ECMO) combined with hemoperfusion, plasma exchange and continuous 
      renal replacement therapy. The heart rhythm gradually stabilized 3 hours after 
      ECMO surgery. On the 6th day after ECMO, heart function recovered. The patient 
      was then weaned from ECMO, and he ultimately recovered and was discharged. In 
      patients with fatal mushroom poisoning leading to refractory arrhythmia and 
      cardiac arrest, early implementation of VA-ECMO combined with sequential blood 
      purification treatment can improve the prognosis and increase the survival rate.
CI  - Copyright (c) 2021. Published by Elsevier Ltd.
FAU - Li, Yang
AU  - Li Y
AD  - Department of Emergency Medicine, The First Affiliated Hospital of Nanchang 
      University, No. 17 Yongwaizheng Street, Donghu District, Nanchang, 330006, 
      Jiangxi Province, China.
FAU - Qiu, Zhiqiang
AU  - Qiu Z
AD  - Department of Emergency Medicine, The First Affiliated Hospital of Nanchang 
      University, No. 17 Yongwaizheng Street, Donghu District, Nanchang, 330006, 
      Jiangxi Province, China.
FAU - Huang, Liang
AU  - Huang L
AD  - Department of Emergency Medicine, The First Affiliated Hospital of Nanchang 
      University, No. 17 Yongwaizheng Street, Donghu District, Nanchang, 330006, 
      Jiangxi Province, China.
FAU - Cao, Chunshui
AU  - Cao C
AD  - Department of Emergency Medicine, The First Affiliated Hospital of Nanchang 
      University, No. 17 Yongwaizheng Street, Donghu District, Nanchang, 330006, 
      Jiangxi Province, China. Electronic address: chunshui6667@sina.com.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20210417
PL  - England
TA  - Toxicon
JT  - Toxicon : official journal of the International Society on Toxinology
JID - 1307333
SB  - IM
MH  - *Extracorporeal Membrane Oxygenation
MH  - *Heart Arrest/etiology/therapy
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Mushroom Poisoning/complications/therapy
OTO - NOTNLM
OT  - Cardiac arrest
OT  - ECMO
OT  - Mushroom poisoning
OT  - Myocardial damage
OT  - Sequential blood purification
EDAT- 2021/04/20 06:00
MHDA- 2021/06/25 06:00
CRDT- 2021/04/19 20:12
PHST- 2021/02/11 00:00 [received]
PHST- 2021/03/29 00:00 [revised]
PHST- 2021/04/14 00:00 [accepted]
PHST- 2021/04/20 06:00 [pubmed]
PHST- 2021/06/25 06:00 [medline]
PHST- 2021/04/19 20:12 [entrez]
AID - S0041-0101(21)00115-X [pii]
AID - 10.1016/j.toxicon.2021.04.011 [doi]
PST - ppublish
SO  - Toxicon. 2021 Jul 15;197:65-69. doi: 10.1016/j.toxicon.2021.04.011. Epub 2021 Apr 
      17.