一起误食野蘑菇中毒事件的调查分析

Investigation and analysis of a wild mushroom poisoning incident by mistake

中文关键词:  蘑菇  食物中毒  大青褶伞

英文关键词:mushroom  food poisoning  Chlorophyllum molybdites

中文摘要:

      目的 调查分析一起野蘑菇中毒事件。方法 通过流行病学调查、食品卫生学调查、实验室检测、动物实验等方法, 查找本次食物中毒原因。结果 搜索哨点医院食源性疾病监测系统和辖区医疗机构就诊记录, 共发现同一家庭中毒患者4名, 罹患率80.0%, 临床表现为恶心、呕吐、腹痛、腹泻等胃肠道症状, 平均潜伏期3 h, 食用野蘑菇与发病之间存在剂量-反应关系。采集剩余野蘑菇7个及患者指认的草坪现场同一种类野蘑菇4个, 经形态学鉴定为大青褶伞, 通过动物实验显示该野蘑菇有消化系统毒性。结论 本次中毒事件为一起误食有毒大青褶伞引起的食物中毒事件。

英文摘要:

      Objective To investigate and analyze a case of wild mushroom poisoning incident. Methods The cause of this food poisoning was found by epidemiological investigation, food hygiene investigation, laboratory testing, animal experiments and other methods. Results A total of four patients with poisoning from the same family were found by searching the foodborne disease surveillance system of sentinel hospitals and the medical records of the medical institutions under the jurisdiction, the incidence rate was 80.0%, the clinical manifestations were nausea, vomiting, abdominal pain, diarrhea and other gastrointestinal symptoms, with an average incubation period of three hours. There was a dose-response relationship between the consumption of wild mushrooms and the onset of the disease. The remaining seven wild mushrooms were collected and four wild mushrooms of the same species were identified by the patients as lawn, which were Chlorophyllum molybdites by morphological identification. Wild mushrooms were toxic to the digestive system through animal experiments. Conclusion This poisoning incident was a food poisoning incident caused by the accidental ingestion of a poisonous Chlorophyllum molybdites.