Group 1: A—Orellanine (Delayed Kidney Damage)

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The page below is a sample from the LabCE course Mushroom Poisoning and the Laboratory's Role in Monitoring Patients. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Group 1: A—Orellanine (Delayed Kidney Damage)

The onset of symptoms from ingestion of orellanine toxin may occur within 36 hours to 3 weeks after ingestion. Symptoms include nausea, vomiting, lethargy, polyuria, headache, a burning thirst, shivering (usually in the absence of fever), and kidney failure. Cortinarius sp. is a representative genus in which orellanine is the principal toxin.

Structure of Orellanine toxin