injuries poisoning
Mushroom Poisoning
Delayed neurologic syndromes
SomeClitocybemushrooms cause erythromelalgia, which is paresthesias and severe burning dysesthesias with edema and erythema of the distal extremities, 24 hours after ingestion. IV nicotinic acid may be an effective treatment. Hapalopilus rutilanscauses a delayed (more than 12 hours after ingestion) central nervous system syndrome of vertigo, ataxia, visual disturbances, somnolence, and encephalopathy. Pleurocybella porrigenscauses a delayed (between 1 to 31 days) syndrome of altered consciousness, convulsions, myoclonus, dysarthria, encephalopathy, respiratory failure and death. 