Symptoms of Tremella poisoning

summary

Tremella, also known as Auricularia auricula, belongs to basidiomycetes of fungi, which is a high-grade edible and medicinal fungus. It contains a variety of amino acids and acid isopolysaccharide, and is a traditional nutritional tonic. In June 1984, food poisoning caused by eating deteriorated Tremella fuciformis broke out for the first time in Dongping County, Shandong Province, China. 286 people were eating, 105 were poisoned, the incidence rate was 36.7%, 8 deaths, and the mortality was 7.6%. A new food poisoning bacterium Pseudomonas cocotoxin subsp. Cerevisiae was isolated from Tremella fuciformis by epidemiological and laboratory studies. The main biochemical characteristics of Pseudomonas cocotoxin subsp. Cerevisiae were consistent with those of the standard strain. It was gram-negative bacilli pumilus with flagella at one or both ends. It was oxidized by O / F test and positive for lecithinase. There was a transparent iridescent ring on the edge of the colony. Tell us about the symptoms of Tremella poisoning.

Symptoms of Tremella poisoning

The incubation period of Tremella fuciformis poisoning was 2-72 hours, most of which were 12-24 hours. At the initial stage, the patient had only mild symptoms such as nausea, vomiting and diarrhea. The vomit was the contents of the stomach, yellow green or brown liquid.

In severe cases, unconsciousness, restlessness, convulsions, tetanic convulsions, coma, jaundice, subcutaneous hemorrhage, hematuria and other symptoms of liver, brain and kidney parenchymal organ damage were found. The body temperature is generally not high, a few have moderate fever.

The number of white blood cells increased significantly (12500-20000 cells / mm □), liver function changed significantly, and SGPT was more than 800 units. Mild cases recovered in 1-3 days, severe cases died in 2-4 days, individual cases died 20 days after onset. If reflex vomiting occurs immediately after eating, the patient's condition is mild and can be cured without treatment.

matters needing attention

There is no effective treatment for deterioration Tremella poisoning. Early emesis, gastric lavage, intestinal lavage, liver protection, kidney protection and intracranial pressure reduction should be used.