A 98-year-old woman died from multi-organ failure following amanita (death cap) mushroom poisoning. She had foraged wild mushrooms from her garden in April 2024 without incident, then consumed mushrooms from the same location in mid-May. She developed vomiting at 2am on 16 May and was transported to hospital where aggressive treatment with activated charcoal, n-acetylcysteine and silibinin was initiated. Despite these interventions, her condition deteriorated rapidly. She was transferred to palliative care and died 6 days later. The case highlights the critical danger of consuming unidentified wild mushrooms, even when prior consumption appeared safe. Clinical lesson: amanita toxins cause delayed but severe hepatotoxicity and multi-organ failure; early recognition and aggressive supportive care may improve outcomes in poisoning cases.
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amanita poisoningdeath cap mushroom toxicitymulti-organ failureacute liver failuregastrointestinal symptoms
Contributing factors
Consumption of unidentified wild mushrooms (death cap/Amanita phalloides)
False sense of security from prior consumption without symptoms
Lack of expert knowledge in mushroom identification
Delayed presentation to hospital (vomiting began ~2am, ambulance called ~6am)
Amanita toxins cause biphasic illness with delayed hepatotoxicity
Coroner's recommendations
The Department of Health, in conjunction with the Victorian Poisons Information Centre, design and run an annual advertising campaign that can be released each autumn, to warn Victorians about the dangers of consuming wild mushrooms.
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