Clinical and Experimental Emergency Medicine 2016;3(3):186-189

doi:10.15441/ceem.16.156

Two cases of incidental Podostroma cornu-damae poisoning.

Hee Nyung KIM 1 ; Han Ho DO ; Jun Seok SEO ; Hee Young KIM

Affiliations

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Keywords

Alopecia; Desquamation; Mushroom; Pancytopenia; Podostroma cornu-damae

Country

Republic of Korea

Language

English

Abstract

Podostroma cornu-damae is a rare, deadly fungus. However, it can be easily mistaken for antler Ganoderma lucidum. In this case report, two patients made tea with the fungus and drank it over a 2-week period. Both patients presented with bicytopenia, and one patient had desquamation of the palms and soles. Both were treated with prophylactic antibiotics and granulocyte colony-stimulating factor. One patient was admitted to the intensive care unit and received a platelet transfusion. Both patients were discharged without complications. Podostroma cornu-damae infections caused by intoxication were successfully treated using our treatment strategy, which consisted of prophylactic antibiotics, platelet transfusion, and granulocyte colony-stimulating factor. We believe this report can guide future treatment.