Death from mushroom poisoning in Australia is rare and usually due to liver failure produced by Amanita phalloides. We report a 53-year-old woman in Queensland who died from an acute muscarinic syndrome 10 hours after eating mushrooms belonging to the genus Rubinoboletus. To our knowledge, this is the first death in Australia caused by non-amatoxin-producing mushrooms. It highlights the need for awareness of non-amatoxin-producing mushrooms as potentially lethal.
Reports of significant morbidity or mortality from mushroom ingestion in Australia have predominantly involved the “deathcap” mushroom (Amanita phalloides),1,2 which contains amatoxins that cause hepatic necrosis and often renal failure. Most of these reports have come from Victoria and the Australian Capital Territory.1,3 We report a death in Queensland after mushroom ingestion producing a severe muscarinic syndrome. The mushrooms involved were identified as Rubinoboletus sensu lato pro tempe, from the bolete group, which includes several species known to produce muscarine.
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