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{
    "pk": 1268,
    "title": "Diagnosis and Management of Amanita Phalloides Toxicity in the Emergency Department Observation Unit: A Case Report",
    "subtitle": null,
    "abstract": "<b>Introduction:</b> Mushroom toxicity is an important etiology of acute liver injury in a patient with gastrointestinal symptoms.<p></p><p><b><b>Case Report: </b></b>We present the case of a male patient presenting to the emergency department (ED) with gastrointestinal distress who was placed under ED observation for elevated liver function tests. During his hospital course, it was revealed he had consumed wild mushrooms believed to be Amanita phalloides.</p><p></p><p><b><b><b>Conclusion: </b></b></b>While mushroom ingestion and subsequent toxicity are rare, a high index of suspicion in foraging hobbyists is essential to arriving at the correct diagnosis and directing the patient to the appropriate management.</p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "toxicology"
        },
        {
            "word": "mushroom"
        },
        {
            "word": "amanita"
        },
        {
            "word": "case report"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/1c8854zv",
    "frozenauthors": [
        {
            "first_name": "Matthew",
            "middle_name": "",
            "last_name": "Tobias",
            "name_suffix": "",
            "institution": "Rutgers Robert Wood Johnson Medical School, Department of Emergency Medicine, New Brunswick, New Jersey",
            "department": "Emergency Medicine"
        },
        {
            "first_name": "Mary",
            "middle_name": "",
            "last_name": "McGoldrick",
            "name_suffix": "",
            "institution": "Columbia University Irving Medical Center, Department of Emergency Medicine, New York, New York",
            "department": "Emergency Medicine"
        },
        {
            "first_name": "Mary",
            "middle_name": "",
            "last_name": "Rometti",
            "name_suffix": "",
            "institution": "Rutgers Robert Wood Johnson Medical School, Department of Emergency Medicine, New Brunswick, New Jersey",
            "department": "Emergency Medicine"
        },
        {
            "first_name": "Jessica",
            "middle_name": "",
            "last_name": "Laub",
            "name_suffix": "",
            "institution": "Rutgers Robert Wood Johnson Medical School, Department of Emergency Medicine, New Brunswick, New Jersey",
            "department": "Department of Pharmacy"
        },
        {
            "first_name": "Grant",
            "middle_name": "",
            "last_name": "Wei",
            "name_suffix": "",
            "institution": "Rutgers Robert Wood Johnson Medical School, Department of Emergency Medicine, New Brunswick, New Jersey",
            "department": "Emergency Medicine"
        },
        {
            "first_name": "Denise",
            "middle_name": "",
            "last_name": "Fernandez",
            "name_suffix": "",
            "institution": "Rutgers Robert Wood Johnson Medical School, Department of Emergency Medicine, New Brunswick, New Jersey",
            "department": "Emergency Medicine"
        }
    ],
    "date_submitted": "2023-04-04T01:56:48.986000Z",
    "date_accepted": "2023-09-15T09:10:55.591000Z",
    "date_published": "2024-01-09T14:00:00Z",
    "render_galley": {
        "label": "Final Article",
        "type": "pdf",
        "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1268/galley/4306/download/"
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            "label": "Layout",
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        {
            "label": "Final Article",
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            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1268/galley/4306/download/"
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}