The _alkaloids_ found in mushrooms are: _Muscaridine_ (an oxyneurine),
which possesses considerable toxicity, and of which 0.00005 Gm.
suffices to kill a frog; _neurine_ (trimethylethylammonium hydroxide);
_choline_ (trimethyloxyethylammonium hydroxide); _mycetomuscarine_;
_anhydromuscarine_ (an oxyneurine); and a whole series of various
betaines.
=Symptomology.=--It is quite natural to divide this symptomology into
three different periods; that of incubation, that of manifestation of
symptoms, and that of termination.
The duration of the first period, that of incubation, is exceedingly
variable; it very rarely lasts more than forty-eight hours, and becomes
general only a few hours after absorption. Certain conditions influence
the duration; firstly the quantity of mushrooms ingested, then the
manner in which they were prepared; and, to some extent, the nature of
the organism, whether child or adult, healthy or in poor health.
When it is a question of the more particularly alkaloid-containing
mushrooms, especially when the poisoning is due to muscarine, the toxic
symptoms generally develop rapidly, the first symptoms appearing about
one hour after the ingestion of the mushrooms. On the other hand, if
the poisoning is due to one of the albuminoid group, and particularly
in the case of phallin, the period of incubation is longer, and may
last ten, twenty, thirty, or even forty-eight hours and more.
The symptoms begin with dizziness and an indefinable sensation of being
ill.
The second period is characterized chiefly by digestive and by nervous
derangements. The digestive derangements are evidenced by very violent
and painful vomiting, and diarrheas of choleraic or dysenteric
character. The nervous derangements vary according to whether they are
developed by an alkaloid, which causes delirium with hallucination, or
by albuminoids, which cause depression, ataxo-adynamia, and stupor,
these being particularly characteristic of the action of the toxic
albuminoids.
As for the period of termination, it results either in death or a cure.
If the poisoning is due to phallin, death appears to be an almost
inevitable consequence, as it occurs in 80 per cent. or more of the
cases. The poisoning by the alkaloids is less dangerous, and the cure,
when it does occur, is very rapid, almost immediate, in fact, while in
the case of the toxic albuminoids the cure is very slow, and attended
by relapses.
One characteristic of these toxalbumins is that they are apt to develop
specific antitoxalbumins. This fact has been verified not only in the
case of abrin, ricin, robin, and their analogues, but also in that
of the vegetable and animal diastases possessing toxic properties
even in the slightest degree only. These antibodies generally exhibit
their action _in vitro_. Thus antiricin exerts its antiagglutinative
action on the erythrocytes _in vitro_ in a saline medium in which the
erythrocytes cannot live.
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