Coronial
VIChospital

Finding into death of Loreta Maria Del Rossi

Deceased

Loreta Maria Del Rossi

Demographics

98y, female

Coroner

State Coroner Judge John Cain

Date of death

2024-05-22

Finding date

2024-10-28

Cause of death

Multi-organ failure following amanita poisoning

AI-generated summary

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.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.

Specialties

toxicologyemergency medicinepalliative carehepatology

Drugs involved

activated charcoalacetylcysteinesilibininondansetron

Clinical conditions

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

  1. 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.
Full text

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