What is already known about this topic?Mushroom poisoning poses a significant food safety concern in China,with a total of 196 species identified in poisoning incidents by the end of 2022.What is added by this report?...What is already known about this topic?Mushroom poisoning poses a significant food safety concern in China,with a total of 196 species identified in poisoning incidents by the end of 2022.What is added by this report?In 2023,the China CDC conducted an investigation into 505 cases of mushroom poisoning spanning 24 provincial-level administrative divisions.This investigation resulted in 1,303 patients and 16 deaths,yielding a case fatality rate of 1.23%.A total of 97 mushrooms were identified as the cause of 6 distinct clinical disease types,with 12 species newly documented as poisonous mushrooms in China.What are the implications for public health practice?Close collaboration among CDC staff,physicians,and mycologists remains crucial for the control and prevention of mushroom poisoning in the future.展开更多
What is already known about this topic?Fatal poisonings caused by wild mushrooms containing amanita toxins pose a significant threat in the southern regions of China.These toxins primarily induce gastrointestinal symp...What is already known about this topic?Fatal poisonings caused by wild mushrooms containing amanita toxins pose a significant threat in the southern regions of China.These toxins primarily induce gastrointestinal symptoms initially,which are then followed by potentially life-threatening acute liver damage.What is added by this report?This report contributes to the existing knowledge on these cases of poisoning by documenting the second occurrences in Hebei Province and the first occurrences in Xingtai City.Five individuals reported consuming wild mushrooms from the same origin,and laboratory tests confirmed the presence ofα-amanitin in their blood samples.What are the implications for public health practice?This underscores the risk associated with the collection and consumption of amanita toxin-containing mushrooms in Hebei.It is important to note that the identification of toxic and non-toxic mushrooms should not solely rely on personal experience or appearance.展开更多
Mushroom poisoning has become a serious food safety issue in China.With the support of the government,over the past decade,China has gradually established a mushroom poisoning prevention and treatment system involving...Mushroom poisoning has become a serious food safety issue in China.With the support of the government,over the past decade,China has gradually established a mushroom poisoning prevention and treatment system involving experts in disease prevention and control,clinical diagnosis and treatment,fungal classification,and basic medicine(1–3).展开更多
What is already known about this topic?Mushroom poisoning is becoming one of the most serious food safety issues in China,which is responsible for nearly a half of all oral poisoning deaths.What is added by this repor...What is already known about this topic?Mushroom poisoning is becoming one of the most serious food safety issues in China,which is responsible for nearly a half of all oral poisoning deaths.What is added by this report?In China,many mushrooms were previously“recorded”as poisonous.In this study,about 70 species obtained from mushroom poisoning incidents including several new records were confirmed accurately by morphological and molecular evidence in 2019,and spatial and temporal distribution characters of 13 lethal mushrooms were summarized systematically.What are the implications for public health practice?Precise and timely species identification is of pivotal importance in mushroom incidents.More efforts and cooperation are continued to be needed urgently for the governments,CDC staff,doctors and mycologists in future.展开更多
Summary What is already known about this topic?Mushroom poisoning is one of the most serious food safety issues in China.Most poisoning incidents resulted from eating mushrooms causing gastroenteritis and psycho-neuro...Summary What is already known about this topic?Mushroom poisoning is one of the most serious food safety issues in China.Most poisoning incidents resulted from eating mushrooms causing gastroenteritis and psycho-neurological disorder from which patients usually could fully recover.Most deaths resulted from species causing acute liver failure and rhabdomyolysis,and the remaining deaths were attributed to acute renal failure and hemolysis.What is added by this report?In 2021,the total number of investigations was 327 from 25 provincial-level administrative divisions,involving 923 patients and 20 deaths,and the overall mortality was 2.17%.Overall,74 poisonous mushrooms causing 6 different clinical syndromes were successfully identified,15 of which were newly recorded in China as poisonous mushrooms.What are the implications for public health practice?Considering the potential huge risks for collecting and eating wild mushrooms,we strongly advise not collecting and eating unfamiliar wild mushrooms.Promoting knowledge about poisonous mushrooms is essential and urgent to reduce mushroom poisonings.Precise species identification timely after mushroom poisoning is important for appropriate diagnosis and treatment.Many deaths were ascribed to delayed hospitalization.展开更多
What is already known about this topic?Acute liver failure,rhabdomyolysis,acute renal failure,and hemolysis caused by poisonous mushrooms are the most important mushroom poisoning threats to the Chinese population.The...What is already known about this topic?Acute liver failure,rhabdomyolysis,acute renal failure,and hemolysis caused by poisonous mushrooms are the most important mushroom poisoning threats to the Chinese population.The most notorious lethal mushrooms are the species from genera Amanita,Lepiota,and Galerina that cause acute liver failure,and Russula subnigricans that leads to rhabdomyolysis.What is added by this report?In 2020,the total number of investigations reached 676,involving an estimated 102 species of poisonous mushrooms,24 of which were newly recorded in China.Gyromitra venenata was newly discovered in incidents in Yunnan and Guizhou provinces and were the first reported poisonings due to gyromitrins in China since 2000.The rare poisoning Shiitake mushroom dermatitis was recorded in China.Hemolysis poisoning caused by Paxillus involutus was recorded for the second time since the beginning of the new century,resulting in one death in Inner Mongolia Autonomous Region.What are the implications for public health practice?Promoting knowledge about safe consumption of mushrooms is essential to reduce mushroom poisonings.It is not wise to collect and eat wild mushrooms.For southwestern provinces such as Yunnan,especially,caution must be exercised with unfamiliar mushroom species.展开更多
What is already known about this topic?Among all food poisoning,poisonings caused by wild mushrooms containing amanitin toxins have the highest case fatality rate.Amanitin toxins can cause acute liver function damage,...What is already known about this topic?Among all food poisoning,poisonings caused by wild mushrooms containing amanitin toxins have the highest case fatality rate.Amanitin toxins can cause acute liver function damage,and symptoms of the poisoning can include vomiting and diarrhea in early stages and progressive liver damage 2–3 days later.What is added by this report?Before 2019,there were about 1–2 cases of wild mushroom containing amanitin toxins poisoning each year in Zhejiang Province.In 2019,10 cases were identified through disease investigation and toxin detection and biological identification in Shaoxing City,Zhejiang Province.All patients had a history of wild mushroom consumption.What are the implications for public health practice?In the summer,some people collect the wild mushrooms for consumption.In China,about 20 species of mushrooms can cause death,and most people lack the ability to identify which mushrooms are edible.To combat this,effective science popularization and prevention and control work will be able to reduce the occurrence of related poisoning events.展开更多
Summary What is already known about this topic?Millettia pachycarpa belongs to the Fabaceae family and is widely distributed in the southern China.It is toxic for the rotenone contained in its roots and seeds,and inge...Summary What is already known about this topic?Millettia pachycarpa belongs to the Fabaceae family and is widely distributed in the southern China.It is toxic for the rotenone contained in its roots and seeds,and ingesting its seeds could result in poisoning.What is added by this report?In December,2020,a poisoning from plant seeds occurred in Chongqing Municipality.The etiological association was confirmed based on epidemiological investigation,clinical manifestation.展开更多
Summary What is already known about this topic?Anisodus tanguticus belongs to the Solanaceae family.The plant is toxic due to the tropane alkaloids it contains and can cause poisoning when it is ingested or used inapp...Summary What is already known about this topic?Anisodus tanguticus belongs to the Solanaceae family.The plant is toxic due to the tropane alkaloids it contains and can cause poisoning when it is ingested or used inappropriately.What is added by this report?A poisoning outbreak involved 10 patients,and one death was caused by Anisodus tanguticus.The etiological association of plant exposure and poisoning was confirmed with evidence from an epidemiological investigation,clinical manifestations,plant identification and a toxin analysis.展开更多
What is already known about this topic?Cordierites frondosus(C.frondosus)is a species of toxic mushroom known to induce symptoms of photosensitive dermatitis.What is added by this report?In the months of May and June ...What is already known about this topic?Cordierites frondosus(C.frondosus)is a species of toxic mushroom known to induce symptoms of photosensitive dermatitis.What is added by this report?In the months of May and June 2023,a total of four patients in Chuxiong Yi Autonomous Prefecture,Yunnan Province,were affected by C.frondosus poisoning,occurring over two distinct incidents.The condition of two patients deteriorated after they were re-exposed to sunlight on the seventh day following the initial poisoning.Separately,an additional two patients reported experiencing a mild,needle-like sensation on areas of their skin exposed to the sun,recorded on the twelfth day subsequent to the poisoning.What are the implications for public health practice?Given that symptoms of photosensitive dermatitis,a potential severe consequence of C.frondosus poisoning,can manifest up to a week post-sun exposure,it is advisable to avoid sunlight for a minimum of two weeks following poisoning.展开更多
基金Ministry of Science and Technology of the People’s Republic of China National Natural Science Foundation of China 32270021.
文摘What is already known about this topic?Mushroom poisoning poses a significant food safety concern in China,with a total of 196 species identified in poisoning incidents by the end of 2022.What is added by this report?In 2023,the China CDC conducted an investigation into 505 cases of mushroom poisoning spanning 24 provincial-level administrative divisions.This investigation resulted in 1,303 patients and 16 deaths,yielding a case fatality rate of 1.23%.A total of 97 mushrooms were identified as the cause of 6 distinct clinical disease types,with 12 species newly documented as poisonous mushrooms in China.What are the implications for public health practice?Close collaboration among CDC staff,physicians,and mycologists remains crucial for the control and prevention of mushroom poisoning in the future.
文摘What is already known about this topic?Fatal poisonings caused by wild mushrooms containing amanita toxins pose a significant threat in the southern regions of China.These toxins primarily induce gastrointestinal symptoms initially,which are then followed by potentially life-threatening acute liver damage.What is added by this report?This report contributes to the existing knowledge on these cases of poisoning by documenting the second occurrences in Hebei Province and the first occurrences in Xingtai City.Five individuals reported consuming wild mushrooms from the same origin,and laboratory tests confirmed the presence ofα-amanitin in their blood samples.What are the implications for public health practice?This underscores the risk associated with the collection and consumption of amanita toxin-containing mushrooms in Hebei.It is important to note that the identification of toxic and non-toxic mushrooms should not solely rely on personal experience or appearance.
基金The research was financed by the National Natural Science Foundation of China(32270021).
文摘Mushroom poisoning has become a serious food safety issue in China.With the support of the government,over the past decade,China has gradually established a mushroom poisoning prevention and treatment system involving experts in disease prevention and control,clinical diagnosis and treatment,fungal classification,and basic medicine(1–3).
基金supported by the National Science Foundation of China(No.31501814)approved by the National Institute of Occupational Health and Poison Control Ethics Committee,Chinese Center for Disease Control and Prevention(NIOHP201904).
文摘What is already known about this topic?Mushroom poisoning is becoming one of the most serious food safety issues in China,which is responsible for nearly a half of all oral poisoning deaths.What is added by this report?In China,many mushrooms were previously“recorded”as poisonous.In this study,about 70 species obtained from mushroom poisoning incidents including several new records were confirmed accurately by morphological and molecular evidence in 2019,and spatial and temporal distribution characters of 13 lethal mushrooms were summarized systematically.What are the implications for public health practice?Precise and timely species identification is of pivotal importance in mushroom incidents.More efforts and cooperation are continued to be needed urgently for the governments,CDC staff,doctors and mycologists in future.
文摘Summary What is already known about this topic?Mushroom poisoning is one of the most serious food safety issues in China.Most poisoning incidents resulted from eating mushrooms causing gastroenteritis and psycho-neurological disorder from which patients usually could fully recover.Most deaths resulted from species causing acute liver failure and rhabdomyolysis,and the remaining deaths were attributed to acute renal failure and hemolysis.What is added by this report?In 2021,the total number of investigations was 327 from 25 provincial-level administrative divisions,involving 923 patients and 20 deaths,and the overall mortality was 2.17%.Overall,74 poisonous mushrooms causing 6 different clinical syndromes were successfully identified,15 of which were newly recorded in China as poisonous mushrooms.What are the implications for public health practice?Considering the potential huge risks for collecting and eating wild mushrooms,we strongly advise not collecting and eating unfamiliar wild mushrooms.Promoting knowledge about poisonous mushrooms is essential and urgent to reduce mushroom poisonings.Precise species identification timely after mushroom poisoning is important for appropriate diagnosis and treatment.Many deaths were ascribed to delayed hospitalization.
文摘What is already known about this topic?Acute liver failure,rhabdomyolysis,acute renal failure,and hemolysis caused by poisonous mushrooms are the most important mushroom poisoning threats to the Chinese population.The most notorious lethal mushrooms are the species from genera Amanita,Lepiota,and Galerina that cause acute liver failure,and Russula subnigricans that leads to rhabdomyolysis.What is added by this report?In 2020,the total number of investigations reached 676,involving an estimated 102 species of poisonous mushrooms,24 of which were newly recorded in China.Gyromitra venenata was newly discovered in incidents in Yunnan and Guizhou provinces and were the first reported poisonings due to gyromitrins in China since 2000.The rare poisoning Shiitake mushroom dermatitis was recorded in China.Hemolysis poisoning caused by Paxillus involutus was recorded for the second time since the beginning of the new century,resulting in one death in Inner Mongolia Autonomous Region.What are the implications for public health practice?Promoting knowledge about safe consumption of mushrooms is essential to reduce mushroom poisonings.It is not wise to collect and eat wild mushrooms.For southwestern provinces such as Yunnan,especially,caution must be exercised with unfamiliar mushroom species.
基金This work was supported by Zhejiang Provincial Science Research Foundation(LGF18H260007).
文摘What is already known about this topic?Among all food poisoning,poisonings caused by wild mushrooms containing amanitin toxins have the highest case fatality rate.Amanitin toxins can cause acute liver function damage,and symptoms of the poisoning can include vomiting and diarrhea in early stages and progressive liver damage 2–3 days later.What is added by this report?Before 2019,there were about 1–2 cases of wild mushroom containing amanitin toxins poisoning each year in Zhejiang Province.In 2019,10 cases were identified through disease investigation and toxin detection and biological identification in Shaoxing City,Zhejiang Province.All patients had a history of wild mushroom consumption.What are the implications for public health practice?In the summer,some people collect the wild mushrooms for consumption.In China,about 20 species of mushrooms can cause death,and most people lack the ability to identify which mushrooms are edible.To combat this,effective science popularization and prevention and control work will be able to reduce the occurrence of related poisoning events.
文摘Summary What is already known about this topic?Millettia pachycarpa belongs to the Fabaceae family and is widely distributed in the southern China.It is toxic for the rotenone contained in its roots and seeds,and ingesting its seeds could result in poisoning.What is added by this report?In December,2020,a poisoning from plant seeds occurred in Chongqing Municipality.The etiological association was confirmed based on epidemiological investigation,clinical manifestation.
文摘Summary What is already known about this topic?Anisodus tanguticus belongs to the Solanaceae family.The plant is toxic due to the tropane alkaloids it contains and can cause poisoning when it is ingested or used inappropriately.What is added by this report?A poisoning outbreak involved 10 patients,and one death was caused by Anisodus tanguticus.The etiological association of plant exposure and poisoning was confirmed with evidence from an epidemiological investigation,clinical manifestations,plant identification and a toxin analysis.
基金Yunnan Academician and Expert Workstation Project 202305AF150066.
文摘What is already known about this topic?Cordierites frondosus(C.frondosus)is a species of toxic mushroom known to induce symptoms of photosensitive dermatitis.What is added by this report?In the months of May and June 2023,a total of four patients in Chuxiong Yi Autonomous Prefecture,Yunnan Province,were affected by C.frondosus poisoning,occurring over two distinct incidents.The condition of two patients deteriorated after they were re-exposed to sunlight on the seventh day following the initial poisoning.Separately,an additional two patients reported experiencing a mild,needle-like sensation on areas of their skin exposed to the sun,recorded on the twelfth day subsequent to the poisoning.What are the implications for public health practice?Given that symptoms of photosensitive dermatitis,a potential severe consequence of C.frondosus poisoning,can manifest up to a week post-sun exposure,it is advisable to avoid sunlight for a minimum of two weeks following poisoning.
