Malicious Mushrooms

Accidental ingestion of the toxic Death Cap mushroom, and others of the species, can occur due to their physical similarities with commonly edible fungi. Production of certain toxins which prevent protein synthesis can lead to fulminant organ failure and death. Although treatment is mostly supportive due to a lack of specific antidote, early recognition can aid in meaningful recovery. Nonspecific symptoms are generally present early in the course and, therefore, high index of suspicion is required. We present 2 cases of suspected poisoning leading to acute liver injury; one leading to resolvement of symptoms and the other being fatal.