Medium Cut-Off Membrane Can Be a New Treatment Tool in Amanita phalloides Poisoning.

Mushroom poisoning is a common health problem that can be seen seasonally and geographically. Most mushroom poisoning requiring treatment worldwide is due to Amanita phalloides. Although liver failure and kidney injury are frequent, poisoning can also lead to more serious clinical situations, such as shock, pancreatitis, encephalopathic coma, cardiac failure, disseminated intravascular coagulation, and multiple organ dysfunction syndrome, and may cause death. In addition, when standard treatment approaches fail, extracorporeal treatment methods are often used. We report 2 cases in which hemodialysis with medium cut-off membrane was performed. We observed an improvement in liver and kidney function in both of our cases. The first case recovered, but the second case proved fatal owing to Acinetobacter sepsis, despite an improvement in renal function. Medium cut-off membrane hemodialysis may be an alternative option in the treatment of Amanita phalloides poisoning.

Antimicrobial and antioxidant activities of Russula delica Fr.

Russula delica Fr. is a well known macrofungi which is used as a food in Turkey. The ethanolic extract of R. delica exhibited antimicrobial activity against some of the tested foodborne and spoilage bacteria. The phenolic composition of R. delica ethanolic extract was analyzed by high performance liquid chromatography (HPLC). The major component in R. delica ethanolic extract was catechin (5.33 mg/L). Antioxidant activities of the ethanolic extract of R. delica was evaluated by using 2,2-diphenyl-1-picrylhydrazyl (DPPH) radicals scavenging and chelating ability on ferrous ions assays. Scavenging effect on DPPH radicals was 26% at 10mg/ml and chelating effects on ferrous ions was 58% at 5mg/ml. In addition, the amounts of total phenol content (6.23 mg/g), ascorbic acid (2.93 mg/g), beta-carotene (0.11 mg/g) and lycopene (0.03 mg/g) in the macrofungi ethanolic extract were determined.