INTRODUCTION: Recently, there has been a rising interest in the cases of wild mushroom poisonings. There are relatively few publications dealing with the demographic aspects of the patients experiencing intoxications after wild mushroom consumption at regional level.
AIM: Our purpose was to retrospectively analyze some demographic characteristics of the patients with acute wild mushroom poisonings in the region of Varna, Bulgaria.
MATERIALS AND METHODS: We performed an epidemiological investigation of all consecutive patients with acute wild mushroom intoxications in the region of Varna hospitalized in the Clinic of Toxicology, Naval Hospital of Varna during the period between January 2005 and December 2022. There were a total of 672 hospitalized patients, 330 males aged between three and 84 years and 342 females aged between four and 85 years. We analyzed their annual dynamics during these 18 years and identified numerous gender and age differences in this contingent.
RESULTS: The number of the male, female and all the patients considerably diminished during the second nine-year period—from 191 down to 139, from 212 down to 130, and from 403 down to 269, respectively. The mean patients’ age was highest in 2016 and in 2015 and lowest in 2011 and in 2008. There were 33 cases with two family members, ten cases with three family members, three cases with four family members, and one case with five family members among the hospitalized patients in a total of 12 years. There were no lethal cases.
CONCLUSION: There were considerable differences in terms of age and gender characteristics of the patients hospitalized for acute wild mushroom intoxications in the region of Varna during the period between 2005 and 2022.
Horowitz KM, Kong EL, Horowitz BZ. Gyromitra mushroom toxicity. In: StatPearls (Internet). Treasure Island, FL: StatPearls Publishing, 2021.
Li W, Pires SM, Liu Z, Liang J, Wang Y, Chen W, et al. Mushroom poisoning outbreaks - China, 2010-2020. China CDC Wkly. 2021;3(24):518-22. doi: 10.46234/ccdcw2021.134.
Keller SA, Klukowska-Rötzler J, Schenk-Jaeger KM, Kupferschmidt H, Exadaktylos AK, Lehmann B, et al. Mushroom poisoning - a 17 year retrospective study at a level I university emergency department in Switzerland. Int J Environ Res Public Health. 2018;15(12):2855. doi: 10.3390/ijerph15122855.
Wang N, Zhao Z, Gao J, Tian E, Yu W, Li H, et al. Rapid and visual identification of Chlorophyllum molybdites with loop-mediated isothermal amplification method. Front Microbiol. 2021;12:638315. doi: 10.3389/fmicb.2021.638315.
Gold JAW, Kiernan E, Yeh M, Jackson BR, Benedict K. Health care utilization and outcomes associated with accidental poisonous mushroom ingestions - United States, 2016-2018. MMWR Morb Mortal Wkly Rep. 2021;70(10):337-41. doi: 10.15585/mmwr.mm7010a1.
Brandenburg WE, Ward KJ. Mushroom poisoning epidemiology in the United States. Mycologia. 2018;110(4):637-41. doi: 10.1080/00275514.2018.1479561.
Lewinsohn D, Lurie Y, Gaon A, Biketova AY, Bentur Y. The epidemiology of wild mushroom poisoning in Israel. Mycologia. 2023;115(3):317-25. doi: 10.1080/00275514.2023.2177471.
Tiewsoh I, Bhattacharya PK, Barman B, Barman H, Rapthap K, Sangla L, et al. Delayed liver toxicity and delayed gastroenteritis: A 5 year retrospective analysis of the cause of death in mushroom poisoning. J Family Med Prim Care. 2022;11(5):1963-9. doi: 10.4103/jfmpc.jfmpc_1806_21.
Janatolmakan M, Ganji MR, Ahmadi-Jouybari T, Rezaeian S, Ghowsi M, Khatony A. Demographic, clinical, and laboratory findings of mushroom-poisoned patients in Kermanshah province, west of Iran. BMC Pharmacol Toxicol. 2022;23(1):72. doi: 10.1186/s40360-022-00614-1.
Karami Matin B, Amrollahi-Sharifabadi M, Rezaei S, Heidari A, Kazemi-Karyani A. Epidemiology and economic burden of an outbreak of cyclopeptide-containing mushroom poisoning in the West of Iran. Front Public Health. 2022;10:910024. doi: 10.3389/fpubh.2022.910024.
Khatir IG, Hosseininejad SM, Ghasempouri SK, Asadollahpoor A, Moradi S, Jahanian F. Demographic and epidemiologic evaluation of mushroompoisoning: a retrospective study in 4-year admissions of Razi Hospital (Qaemshahr, Mazandaran, Iran). Med Glas (Zenica). 2020;17(1):117-22. doi: 10.17392/1050-20.
Gholami N, McDonald R, Farnaghi F, Hosseini Yazdi M, Zamani N, Hassanian-Moghaddam H. Fatal outcome in acutely poisoned children with hospitalization: a 10-year retrospective study from Tehran, Iran. Pediatr Emerg Care. 2022;38(2):e659-63. doi: 10.1097/PEC.0000000000002429.