Amanita-Induced Hepatitis

The consumption of wild mushrooms can be associated with poisoning, particularly with species containing hepatotoxic toxins such as amatoxin, present in more than 35 species. We present a case of Amanita-induced hepatitis in a 73-year-old man after ingestion of wild mushrooms. He presented to the emergency department (ED) with severe diarrhea, intense abdominal pain, and vomiting, with onset approximately six hours after ingestion of wild mushrooms. He developed acute liver injury but never developed hepatic encephalopathy. His clinical course was favorable, with complete recovery of liver function. The diagnosis of Amanita-induced toxic hepatitis is based on clinical observations. Early diagnosis and treatment are fundamental factors in the prognosis of these patients.