The deadly _Amanita_ or death-cup (_A. phalloides_) is probably
responsible for the majority of cases of mushroom poisoning. Ford
estimates that from twelve to fifteen deaths occur annually in this
country from this species alone. This fungus is usually eaten through
sheer ignorance by persons who have gathered and eaten whatever they
chanced to find in the woods. A few of these poisonous mushrooms mixed
with edible varieties may be sufficient to cause the death of a family.
Ford thus describes the symptoms of poisoning with _A. phalloides_:
Following the consumption of the fungi there is a period of six to
fifteen hours during which no symptoms of poisoning are shown by the
victims. This corresponds to the period of incubation of other
intoxications or infections. The first sign of trouble is sudden
pain of the greatest intensity localized in the abdomen, accompanied
by vomiting, thirst, and choleraic diarrhoea with mucous and bloody
stools. The latter symptom is by no means constant. The pain
continues in paroxysms often so severe as to cause the peculiar
Hippocratic facies, _la face vultueuse_ of the French, and though
sometimes ameliorated in character, it usually recurs with greater
severity. The patients rapidly lose strength and flesh, their
complexion assuming a peculiar yellow tone. After three to four
days in children and six to eight in adults the victims sink into a
profound coma from which they cannot be roused and death soon ends
the fearful and useless tragedy. Convulsions rarely if ever occur
and when present indicate, I am inclined to believe, a mixed
intoxication, specimens of _Amanita muscaria_ being eaten with the
_phalloides_. The majority of individuals poisoned by the "deadly
Amanita" die, the mortality varying from 60 to 100 per cent in
various accidents, but recovery is not impossible when small amounts
of the fungus are eaten, especially if the stomach be very promptly
emptied, either naturally or artificially.
A number of other closely related species of _Amanita_ (e.g., _A.
verna_, the "destroying angel," probably a small form of _A.
phalloides_) have a poisonous action similar to that of _A. phalloides_.
All are different from muscarin.
[Illustration: FIG. 4.--Death-cup; destroying angel (_Amanita
phalloides_ Fries); reduced; natural size: cap, 3-1/2 inches; stem,
7-1/2 inches. (After Marshall, _The Mushroom Book_, by courtesy of
Doubleday, Page & Company.)]
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