We explored the treatment of a patient poisoned by the Lepiota brunneoincarnata mushroom, which marked its first record in Argentina. This individual, a 51-year-old male, presented with troubling symptoms such as nausea, vomiting, abdominal pain, and diarrhea, which surfaced 36 hours after ingestion. The quick actions taken, including the administration of a nasogastric tube and activated charcoal, were crucial in the response to this medical emergency.
Activated charcoal is commonly utilized in cases of food poisoning due to its ability to absorb toxins in the gastrointestinal tract, preventing their further absorption into the bloodstream. In this case, the patient's condition was effectively managed with additional treatments such as N-acetylcysteine, phytomenadione, and penicillin G. His recovery allowed him to be discharged after 11 days.
This case emphasizes the significance of both timely identification of the poisonous mushroom and the role of treatment strategies, including activated charcoal. While the effectiveness of activated charcoal is underscored, it’s important to note that it was part of a broader treatment plan and the overall outcomes reflect a combination of therapies working together.