A kidney donor with brain death from wild mushroom poisoning: a case report and literature review
10.3760/cma.j.issn.0254-1785.2020.02.011
- VernacularTitle:毒蕈中毒供者供肾一例并文献复习
- Author:
Qian YANG
1
;
Yongheng ZHAO
;
Chao LI
;
Xun SUN
;
Wei HU
;
Hongren XU
;
Li LI
Author Information
1. 昆明市第一人民医院器官移植中心，昆明 650224
- From:
Chinese Journal of Organ Transplantation
2020;41(5):297-300
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To report a pediatric organ donor with brain death due to wild mushroom poisoning to examine whether or not brain death caused by mushroom poisoning might become a potential organ donor and how to evaluate donated organs.Methods:Strict clinical observations, laboratory tests and biopsy were performed for potential donor.Results:This donor's clinical changes were consistent with toxic hepatitis. Gross morphology, laboratory examinations and pathological biopsy of two kidneys were generally normal during organ acquisition. Two kidneys were assigned to two adult recipients and liver was discarded. After a follow-up period of 6 months, one recipient recovered well while another gradually recovered after delayed graft function.Conclusions:This extraordinary case provides some references for selecting potential donors of mushroom poisoning. When the donor's relevant laboratory tests are normal, there is no pathological contraindication, sufficient time is available for estimating the type of mushroom poisoning, observing the trends of organ damage and waiting for the toxin clearance, donor with brain death from wild mushroom poisoning may donate organ.
