Finding into death of Loreta Maria Del Rossi

98y · Female·Multi-organ failure following amanita poisoning

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.