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Journal of Toxicology: Clinical Toxicology Volume 42, 2004 - Issue 6
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Research Article

Diagnostic Accuracy of Urinary Amanitin in Suspected Mushroom Poisoning: A Pilot Study

Raffaella Butera Pavia Poison Center and Toxicology Laboratory, IRCCS Maugeri Foundation and University of Pavia, Via Ferrata 8, 27100, Pavia, Italy
, M.D.,
Carlo Locatelli Pavia Poison Center and Toxicology Laboratory, IRCCS Maugeri Foundation and University of Pavia, Via Ferrata 8, 27100, Pavia, Italy
, M.D.,
Teresa Coccini Pavia Poison Center and Toxicology Laboratory, IRCCS Maugeri Foundation and University of Pavia, Via Ferrata 8, 27100, Pavia, Italy
, Ph.D. &
Luigi Manzo Pavia Poison Center and Toxicology Laboratory, IRCCS Maugeri Foundation and University of Pavia, Via Ferrata 8, 27100, Pavia, Italy
, M.D.
Pages 901-912 | Published online: 10 Jan 2004

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Lucia Giannini, Alfredo Vannacci, Andrea Missanelli, Rosanna Mastroianni, Pier Francesco Mannaioni, Flavio Moroni & Emanuela Masini. (2007) Amatoxin poisoning: A 15-year retrospective analysis and follow-up evaluation of 105 patients. Clinical Toxicology 45:5, pages 539-542.
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F. Parant, L. Peltier, G. Lardet, C. Pulce, J. Descotes & M. Moulsma. (2006) SYNDROME PHALLOÏDIEN: QUELLE EST LA PLACE DU DOSAGE DES α-ET γ-AMANITINES PAR ELISA (BÜHLMANN)? Résultats préliminaires. Acta Clinica Belgica 61:sup1, pages 11-17.
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Articles from other publishers (34)

Shuo Yang, Di Wen, Fenshuang Zheng, Shanbai Pu, Zhuonan Chen, Mobing Chen, Bin Di, Wei Liu & Yan Shi. (2023) Simple and rapid detection of three amatoxins and three phallotoxins in human body fluids by UPLC-MS/MS and its application in 15 poisoning cases. Journal of Analytical Toxicology.
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Isabel Barbosa, Cátia Domingues, Fernando Ramos & Rui M. Barbosa. (2023) Analytical methods for amatoxins: A comprehensive review. Journal of Pharmaceutical and Biomedical Analysis 232, pages 115421.
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Jiale Gao, Nuoya Liu, Xiaomeng Zhang, En Yang, Yuzhu Song, Jinyang Zhang & Qinqin Han. (2022) Utilizing the DNA Aptamer to Determine Lethal α-Amanitin in Mushroom Samples and Urine by Magnetic Bead-ELISA (MELISA). Molecules 27:2, pages 538.
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Thomas P. Bambauer, Lea Wagmann, Armin A. Weber & Markus R. Meyer. (2020) Analysis of α- and β-amanitin in Human Plasma at Subnanogram per Milliliter Levels by Reversed Phase Ultra-High Performance Liquid Chromatography Coupled to Orbitrap Mass Spectrometry. Toxins 12:11, pages 671.
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Robert Wennig, Florian Eyer, Andreas Schaper, Thomas Zilker & Hilke Andresen-Streichert. (2020) Mushroom Poisoning. Deutsches Ärzteblatt international.
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Candace S. Bever, Kenneth D. Swanson, Elizabeth I. Hamelin, Michael Filigenzi, Robert H. Poppenga, Jennifer Kaae, Luisa W. Cheng & Larry H. Stanker. (2020) Rapid, Sensitive, and Accurate Point-of-Care Detection of Lethal Amatoxins in Urine. Toxins 12:2, pages 123.
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Jacques R. Bernuau, Claire Francoz & François Durand. (2019) Amatoxin poisoning: Immediate transfer to intensive care or liver unit of patients at early risk of severe acute liver injury. Liver International 39:6, pages 1016-1018.
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Ona Escoda, Enric Reverter, Jordi To‐Figueras, Gregori Casals, Javier Fernández & Santiago Nogué. (2019) Potential value of urinary amatoxin quantification in patients with hepatotoxic mushroom poisoning. Liver International 39:6, pages 1128-1135.
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Sara A. Brown, Ellen Axenfeld, Elizabeth G. Stonesifer, William Hutson, Steven Hanish, Jean-Pierre Raufman & Nathalie H. Urrunaga. (2018) Current and prospective therapies for acute liver failure. Disease-a-Month 64:12, pages 493-522.
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G Cervellin, I Comelli, G Rastelli, F Sanchis-Gomar, F Negri, C De Luca & G Lippi. (2017) Epidemiology and clinics of mushroom poisoning in Northern Italy: A 21-year retrospective analysis. Human & Experimental Toxicology 37:7, pages 697-703.
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Thomas Zilker & Heinz Faulstich. 2017. Critical Care Toxicology. Critical Care Toxicology 1 21 .
Thomas Zilker & Heinz Faulstich. 2017. Critical Care Toxicology. Critical Care Toxicology 2129 2148 .
Sylvie Morel, Françoise Fons, Sylvie Rapior, Virginie Dubois, Manon Vitou, Karine Portet, Jean-Christophe Dore & Patrick Poucheret. (2016) Decision-Making for the Detection of Amatoxin Poisoning: A Comparative Study of Standard Analytical Methods. Cryptogamie, Mycologie 37:2, pages 217-239.
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Shuo Zhang, Yunfeng Zhao, Haijiao Li, Shuang Zhou, Dawei Chen, Yizhe Zhang, Qunmei Yao & Chengye Sun. (2016) A Simple and High-Throughput Analysis of Amatoxins and Phallotoxins in Human Plasma, Serum and Urine Using UPLC-MS/MS Combined with PRiME HLB μElution Platform. Toxins 8:5, pages 128.
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Thomas Zilker & Heinz Faulstich. 2016. Critical Care Toxicology. Critical Care Toxicology 1 20 .
Juliana Garcia, Vera M. Costa, Alexandra Carvalho, Paula Baptista, Paula Guedes de Pinho, Maria de Lourdes Bastos & Félix Carvalho. (2015) Amanita phalloides poisoning: Mechanisms of toxicity and treatment. Food and Chemical Toxicology 86, pages 41-55.
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Salvador Ventura, Cristina Ruiz, Elena Durán, Marta Mosquera, Fernando Bandrés, Francesc Campos, Bartomeu Castanyer, Juan Fernando Izquierdo, Elena Llorente, Jordi To-Figueras & Josep M. Queraltó. (2015) Amanitinas. Revista del Laboratorio Clínico 8:3, pages 109-126.
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Andreas G. Helfer, Markus R. Meyer, Julian A. Michely & Hans H. Maurer. (2014) Direct analysis of the mushroom poisons α- and β-amanitin in human urine using a novel on-line turbulent flow chromatography mode coupled to liquid chromatography–high resolution-mass spectrometry/mass spectrometry. Journal of Chromatography A 1325, pages 92-98.
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Marta Leite, Andreia Freitas, Anabela Marisa Azul, Jorge Barbosa, Saul Costa & Fernando Ramos. (2013) Development, optimization and application of an analytical methodology by ultra performance liquid chromatography–tandem mass spectrometry for determination of amanitins in urine and liver samples. Analytica Chimica Acta 799, pages 77-87.
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Franziska Vaagt, Ilka Haase & Markus Fischer. (2013) Loop-Mediated Isothermal Amplification (LAMP)-Based Method for Rapid Mushroom Species Identification. Journal of Agricultural and Food Chemistry 61:8, pages 1833-1840.
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Frédéric Baud, Philippe Hantson & Hafedh ThabetP. Saviuc & P. Harry. 2013. Intoxications aiguës. Intoxications aiguës 297 311 .
P. Saviuc & P.-A. Moreau. (2012) Intoxications par les champignons : syndromes à latence longue. EMC - Pathologie professionnelle et de l 'environnement 7:3, pages 1-13.
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Mok Mai Yee, Leslie W. Woods, Robert H. Poppenga & Birgit Puschner. (2011) Amanitin intoxication in two beef calves in California. Journal of Veterinary Diagnostic Investigation 24:1, pages 241-244.
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Luca Santi, Caterina Maggioli, Marianna Mastroroberto, Manuel Tufoni, Lucia Napoli & Paolo Caraceni. (2012) Acute Liver Failure Caused by Amanita phalloides Poisoning . International Journal of Hepatology 2012, pages 1-6.
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Don Brian Clarke, Antony S. Lloyd & Paul Robb. (2012) Application of liquid chromatography coupled to time-of-flight mass spectrometry separation for rapid assessment of toxins in Amanita mushrooms. Analytical Methods 4:5, pages 1298.
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Rosa Ferreira, Jos? Manuel Rom?ozinho, Pedro Amaro, Manuela Ferreira & Carlos Sofia. (2011) Assessment of emergency liver transplantation criteria in acute liver failure due to Amanita phalloides. European Journal of Gastroenterology & Hepatology 23:12, pages 1226-1232.
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Donald G. Barceloux. 2008. Medical Toxicology of Natural Substances. Medical Toxicology of Natural Substances 261 284 .
V.A. Robinson-Fuentes, J.L. Jaime-Sánchez, L. García-Aguilar, M. Gómez-Peralta, M.S. Vázquez-Garcidueñas & G. Vázquez-Marrufo. (2008) Determination of α- and β-amanitin in clinical urine samples by Capillary Zone Electrophoresis. Journal of Pharmaceutical and Biomedical Analysis 47:4-5, pages 913-917.
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Ilkka Ojanperä. 2008. Forensic Science. Forensic Science 391 399 .
A.E. Oestreich. (2008) Mushroom poisoning in children: liver MDCT findings in three cases. Yearbook of Diagnostic Radiology 2008, pages 115-116.
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Birgit Puschner, Heidi H. Rose & Michael S. Filigenzi. (2016) Diagnosis of Amanita Toxicosis in a Dog with Acute Hepatic Necrosis . Journal of Veterinary Diagnostic Investigation 19:3, pages 312-317.
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Michael S. Filigenzi, Robert H. Poppenga, Asheesh K. Tiwary & Birgit Puschner. (2007) Determination of α-Amanitin in Serum and Liver by Multistage Linear Ion Trap Mass Spectrometry. Journal of Agricultural and Food Chemistry 55:8, pages 2784-2790.
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James H. Diaz. (2005) Evolving global epidemiology, syndromic classification, general management, and prevention of unknown mushroom poisonings. Critical Care Medicine 33:2, pages 419-426.
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Antoni Mas. (2005) Mushrooms, amatoxins and the liver. Journal of Hepatology 42:2, pages 166-169.
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