Amanita phalloides, a potentially lethal mushroom : Its clinical presentation and therapeutic options

Mushroom poisoning with Amanita phalloides, a rare phenonemon in everyday clinical practice in the Netherlands, must be recognized early in view of its potential morbidity and mortality. In this article 2 cases of Amanita intoxication are presented and the pharmacological basis and clinical manifestations discussed. Furthermore, the rationale of various treatment modalities, including the role of liver transplantation, is outlined.