Clinical Features

Typically, patients will present with acute onset of vomiting and diarrhea less than 2 h after ingesting the mushroom. There may be intestinal cramping, chills, headaches, and myalgias. The diarrhea is usually watery, but occasionally may be bloody, with fecal leukocytes. Most commonly, symptoms are mild and self-limited. Infrequently, the vomiting and diarrhea may lead to significant dehydration and electrolyte imbalance. The history of ingestion is frequently offered by the patient, but in cases where it is not, the presentation may be confused with acute gastroenteritis or acute food poisoning.

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