Rarely a person with mushroom poisoning may show evidence of myocarditis.
Pathogenesis: many of the reports are associated with rhabdomyolysis
Cardiac findings:
(1) left ventricular dysfunction
(2) ECG showing changes consistent with NSTEMI, STEMI or hyperkalemia
(3) cardiogenic shock
(4) myocarditis
Many patients showing myocardial injury have multi-organ damage which can contribute to shock.
The myocardial involvement is usually reversible once recovered from the poisoning.
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Specialty: Toxicology, Emergency Medicine
