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Death Cap mushrooms grow in some areas of the Lodi Lake Nature Area. A family recently ingested mushrooms from the nature area and have been receiving medical treatment from the California Pacific Medical Center in San Francisco. (Brian Feulner/News-Sentinel)

Expert: Half a mushroom cap can be deadly

By Jordan Guinn
News-Sentinel Staff Writer
Saturday, November 21, 2009 6:33 AM PST

Debbie Viess is a biologist and co-founder of the Bay Area Mycological Society. A former zoologist, she has been studying mushrooms for the past 15 years. Viess is a member of the North American Mycological Association and the education chair at the Mycological Society of San Francisco. In a telephone interview, she discussed poisonous mushrooms and offered advice for people who may forage for them.

Q: Are these mushrooms (Amanita phalloides, or "Death Caps") dangerous both cooked and raw?


Debbie Viess


A: It's bad either way. The proteins inside the mushroom are extremely stable. They are not easily broken down and they are not water-soluble.

Q: Are there any tips you can offer people who want to pick wild mushrooms?

A: They need to do it for a long time. They must also get under the umbrella of local experts. I am an expert in California, but I can't go to Europe and just pick mushrooms over there. They are different all over the world. There is a lot of variability with mushrooms. Mushroom knowledge doesn't travel easily. There are books and field guides, but it is best to consult with local experts who understand your region. There are mycological societies in Davis, Sonoma County and throughout the state.

Q: Are there any surefire tips that can keep people safe?

A: Don't eat what you don't know. The main problems arise when people try to do it themselves. Do your research and get your work checked. Don't do it on your own.

Q: What are the symptoms of this particular type of mushroom poisoning?

A: It's very similar to cholera, with symptoms such as vomiting and diarrhea. It attacks the liver and gets into the bile, and keeps getting reproduced.

Q: What are treatments for it?

A: Milk thistle pills can be used, but they usually get thrown right back up because the stomach is so agitated. It doesn't work when the gut is so inflamed. There is a derivative of milk thistle that can be administered through an IV. Intravenous silibinin can protect a person's liver by preventing the amatoxin from being taken in by the liver cells. It has been used in Europe for the last 20 years.

Q: What is the appeal of these particular mushrooms?

A: We are told they taste very good. Mushrooms don't provide much nutrition, so most likely people are eating them for nostalgic reasons.

Q: How much does a person need to ingest to become ill?

A: As little as half a cap in an adult can be fatal. The rates of fatalities have gotten better as medicines and techniques that flush the body have improved. It used to be a 50/50 chance of the person dying. Now their chances of survival are better.

Q: Is touching them a bad idea?

A: Ingesting them is the real problem. If you have an open wound on your hand, I wouldn't recommend shoving it into it. But ingesting them is how people get sick.

Contact reporter Jordan Guinn at jordang@lodinews.com.

Wild mushroom warning

Don't eat mushrooms that you pick. Poisonous mushrooms in Northern California look very similar to edible varieties that grow in Europe, Asia and elsewhere in the Americas.

Anyone who develops any symptoms after eating wild mushrooms or has questions about whether to eat them should call the California Poison Control System Hotline at (800) 8-POISON ((800) 876-4766).

Clinical pharmacists, nurses and physicians who specialize in the diagnosis and treatment of poisoning are available 24 hours a day. They have access to translators to provide assistance in numerous languages for those who do not speak English.

Source: University of California

Death caps at a glance

On Nov. 8, three Lodi-area family members said they ate Death Cap mushrooms, or Amanita phalloides. The victims told Lodi police they found the poisonous mushrooms in the Lodi Lake Nature Area.

Here are some fast facts about the Death Cap mushrooms:

— A deadly beauty: Despite its beautiful appearance, it is the leading cause of fatal mushroom poisoning worldwide.

— European born: The mushroom used to be found only in Europe, but it is highly adaptable to new areas. Based on literature and documents focused on the mushroom, experts believe the earliest the mushroom arrived in Central California was around 1938. The mushrooms are believed to have arrived on the roots of imported ornamental trees that were most likely cork oak.

Since then, the mushroom has expanded throughout California from the Sierra foothills to the Channel Islands.

— A symbiotic relationship: The Death Caps grow off the roots of mainly live oak trees, but they have also been found on pine trees in Marin County and with Tanoak in Mendocino County.

— A year-round threat: The Death Caps sprout at all times of year, but they are the most abundant during the fall and early winter. During spring and summer, they can appear in coastal fog drip or where there are irrigated oaks.

— Thriving in California: The invasive species has grown better in California then elsewhere in the world. On some oaks, there can be dozens of the mushrooms growing off the roots.

— Painfully poisonous: The mushrooms' poison can result in liver failure or even death. The mushrooms contain toxic amatoxins, which the body has great difficulty completely eliminating. It is an excruciatingly painful type of poisoning, and the toxins attack the liver, sometimes causing permanent damage.

— Treatment: The treatment is intravenous silibinin, which is a derivative of milk thistle. It protects the liver by preventing it from absorbing the amatoxins. The liver can then recover once the amatoxins is eliminated from the body. Europe has used the treatment for two decades.

Source: "Amanita phalloides: Invasion of the Death Cap" The Bay Area Mycological Society

Mycology at a glance

What is mycology?: Simply put, it's the study of fungus. It applies to mushrooms, lichens, yeasts molds, truffles, plant pathogens and medicinal fungi.

For more information, visit:

— The Mycological Society of America, www.msafungi.org
— The Bay Area Mycological Society, www.bayareamushrooms.org
— The Davis Mycological Society, psychology.ucdavis.edu/sommerr/dms/
— North American Mycological Association, www.namyco.org.

Reader Feedback

amanitarita wrote on Nov 21, 2009 11:39 AM:

" Hi,

A few corrections:

I am a former not current Education Chair for the MSSF.

The most important symptom of amatoxin poisoning is the delayed onset: symptoms (violent, cholera-like vomitting and diarrhea) normally appear from 6-12 hours after mushroom ingestion. Elevated liver enzymes, a symptom of liver damage, occur later as the amatoxins get continuously recycled (not reproduced!) through the liver.

Mortality rates as high as 50% have been dramatically reduced to around 10%, primarily through modern, intensive, supportive care in hospital.

The most promising treatment to date is intravenous silibinin, currently in clinical trails here in the U.S. Silibinin interferes with the uptake of amatoxin by the liver cells, and also interrupts the recirculating of amatoxin through the liver, allowing the liver to heal itself. This may reduce or eliminate the need for liver transplants.

Doctors and hospitals with qualifying, amatoxin-poisoned patients anywhere in the U.S. may obtain silibinin for free during these trials. Follow the link below to reach a 24 hour hotline:

www.legalonsil.com

Due to word constraints, I will clarify other points in a second email.

Debbie Viess
Bay Area Mycological Society "

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