
The death cap mushroom, scientifically known as Amanita phalloides, is a deadly poisonous fungus. It is responsible for about 90% of mushroom-related deaths globally. Native to Europe, death caps have spread around the world over the past century. They are extremely dangerous, but they can easily be confused with edible mushrooms. The major toxic mechanism of death caps is the inhibition of RNA polymerase II, a vital enzyme in the synthesis of messenger RNA (mRNA), microRNA, and small nuclear RNA (snRNA). Without mRNA, essential protein synthesis and hence cell metabolism stop, leading to cell death. The liver is the principal organ affected, with kidney failure also occurring in some cases.
| Characteristics | Values |
|---|---|
| Scientific Name | Amanita phalloides |
| Common Name | Death Cap |
| Type | Mushroom, Fungus |
| Origin | Europe |
| Poisonous | Yes |
| Toxicity | Amatoxins, Phallotoxins, Virotoxins |
| Symptoms | Nausea, Diarrhea, Gastrointestinal upset, Liver failure, Kidney failure, Encephalopathy |
| Treatment | Silibinin, Intravenous fluids, Activated charcoal, Liver transplant |
| Preventative Measures | Meixner test |
| Appearance | White, Yellow, Green |
| Size | 5-15 cm across, 6-15 cm tall |
| Shape | Domed cap, Flat cap |
| Smell | Sickly sweet, Rancid |
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What You'll Learn
- Death cap mushrooms are deadly poisonous when ingested, causing liver and kidney failure
- Amatoxins, phallotoxins, and virotoxins are the three broad classes of toxins found in death caps
- Death caps are often mistaken for edible mushrooms, leading to accidental poisoning
- Symptoms of death cap poisoning may be mistaken for other conditions, making diagnosis challenging
- Treatment options for death cap poisoning include silibinin, intravenous fluids, and activated charcoal

Death cap mushrooms are deadly poisonous when ingested, causing liver and kidney failure
The death cap mushroom, scientifically known as Amanita phalloides, is a deadly poisonous basidiomycete fungus. Native to Europe, death caps have spread to other parts of the world, including Australia, North America, and the UK. They are often found in forests, growing on or near trees, and can be identified by their large fruiting bodies with greenish or yellowish caps and white gills and stems.
Death cap mushrooms contain a unique set of toxins, including amatoxins, phallotoxins, and virotoxins. Amatoxins, a type of alkaloid, are the most toxic of these compounds and are responsible for inhibiting an enzyme called RNA polymerase II, preventing cells from creating proteins and ultimately leading to cell death. The liver is the primary site of amatoxin toxicity, as it is the first organ encountered after absorption in the gastrointestinal tract, but other organs, especially the kidneys, are also affected.
Symptoms of death cap mushroom poisoning may not appear immediately, with an asymptomatic period of several hours before effects become apparent. Initial symptoms include nausea, diarrhoea, and other gastrointestinal issues, followed by a period of remission where symptoms seem to improve. However, during this stage, the toxins are still affecting the body and damaging the liver and kidneys. If left untreated, death cap poisoning can lead to liver and kidney failure, encephalopathy, and death.
It is important to seek immediate medical attention if you suspect death cap mushroom poisoning. While antidotes and treatments such as silibinin and liver transplants are available, the binding of amatoxins to their targets in the liver is largely irreversible, making it challenging to counteract their toxic effects. The delay in the appearance of symptoms and the similarity of death caps to edible mushrooms contribute to the danger and risk of accidental poisoning associated with this deadly fungus.
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Amatoxins, phallotoxins, and virotoxins are the three broad classes of toxins found in death caps
The death cap mushroom, or Amanita phalloides, is a deadly poisonous fungus. It is the deadliest mushroom worldwide, causing 90% of mushroom-related fatalities each year. Even half a mushroom can contain enough toxin to kill an adult human.
Phallotoxins are composed of at least seven compounds, all of which are bicyclic heptapeptides with seven similar peptide rings. They stimulate the polymerization of G-actin and stabilize the F-actin filaments and microfilaments. Phallotoxins are highly toxic to liver cells, but they have been found to add little to the death cap's toxicity as they are not absorbed through the gut. The volva, or the ring, is the most poisonous part of the death cap mushroom in terms of phallotoxins.
Virotoxins are monocyclic peptides formed by at least five different compounds. They have a more flexible structure than phallotoxins and exhibit different molecular interactions. Their main toxicological feature is causing hemorrhagic hepatic necrosis. The role of virotoxins in human toxicity is still unclear, and they are not considered to have significant clinical importance due to their poor oral absorption.
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Death caps are often mistaken for edible mushrooms, leading to accidental poisoning
The death cap mushroom, scientifically known as Amanita phalloides, is a deadly poisonous fungus. It is responsible for about 90% of mushroom-related deaths globally each year, making it the world's most lethal mushroom. The death cap mushroom contains a unique set of toxins, including amatoxins, phallotoxins, and virotoxins. Amatoxins are the most toxic of these compounds and are a type of alkaloid, a naturally occurring chemical.
Death cap mushrooms are often mistaken for edible mushrooms, leading to accidental poisoning. They resemble several edible mushroom species commonly consumed by humans, such as Caesar's mushroom, the straw mushroom, and the field mushroom. This increases the risk of accidental poisoning, especially when people are foraging for wild mushrooms. The mushrooms have a flat or slightly rounded cap that sits on top of a thick stalk, with white gills and an off-white stem. The cap is generally greenish, but the colour is variable and can include white forms, making it even more challenging to identify.
The early symptoms of death cap mushroom poisoning may be mistaken for other conditions or a remission in the illness. The first symptoms typically appear after a delay of several hours, and patients may experience nausea, diarrhoea, and other symptoms of gastrointestinal upset. After 12 to 36 hours, the first wave of symptoms passes, and patients may feel much better. However, during this stage, the toxins are still affecting the body and damaging the liver and kidneys. The final stage of death cap poisoning occurs when the liver and kidneys are so severely damaged that they begin to shut down, requiring immediate medical intervention.
To avoid accidental poisoning, it is crucial to correctly identify wild mushrooms before consuming them. If you suspect that you have ingested a death cap mushroom, seek medical attention immediately, as prompt treatment improves the prognosis.
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Symptoms of death cap poisoning may be mistaken for other conditions, making diagnosis challenging
The death cap mushroom, or Amanita phalloides, is a deadly poisonous fungus that resembles several edible mushrooms commonly consumed by humans. This similarity increases the risk of accidental poisoning, as symptoms of death cap poisoning may be mistaken for other conditions, making diagnosis challenging.
Death cap mushrooms contain a high concentration of amatoxins, a type of alkaloid that is toxic to humans. These toxins can cause extreme damage to the liver and kidneys, leading to organ failure and, in some cases, death. The major toxic mechanism of amatoxins is the inhibition of RNA polymerase II, an enzyme vital for protein synthesis and cell metabolism. By blocking this enzyme, amatoxins prevent cells from carrying out essential functions, ultimately leading to cell death and organ failure.
The symptoms of death cap poisoning can be mistaken for other conditions, such as food poisoning or a viral infection. Early symptoms, which typically appear 6 to 12 hours after ingestion, include nausea, diarrhoea, and other gastrointestinal issues. After 12 to 36 hours, patients may experience a period of remission where they feel much better. However, during this stage, the toxins are still affecting the body and damaging the liver and kidneys. This delay in the appearance of symptoms can make it challenging for medical professionals to accurately diagnose death cap poisoning, especially if the patient does not disclose any recent mushroom consumption.
Furthermore, death cap mushrooms can easily be mistaken for edible varieties, such as Caesar's mushroom, straw mushrooms, or field mushrooms. This increases the likelihood of accidental poisoning, as people may unknowingly consume death caps, believing them to be safe. In some cases, death caps have been intentionally consumed due to their resemblance to edible mushrooms, leading to severe health consequences. Therefore, it is crucial to accurately identify mushrooms before consumption to avoid the potentially fatal consequences of death cap poisoning.
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Treatment options for death cap poisoning include silibinin, intravenous fluids, and activated charcoal
The death cap mushroom, or Amanita phalloides, is a deadly poisonous fungus. It is responsible for the majority of mushroom poisoning deaths worldwide, causing liver and kidney failure. As little as half a mushroom can contain enough toxin to kill an adult human.
The mortality rate for untreated death cap mushroom poisoning is high, often exceeding 50%. Death is rare if treatment is started immediately, and fatalities occur in less than 5% of cases in developed countries with early access to intensive care. Prevention is primarily through education and awareness about the dangers of consuming wild mushrooms without proper expertise.
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Frequently asked questions
Death cap mushrooms are extremely dangerous and are responsible for 90% of mushroom-related fatalities worldwide.
Death caps contain a unique set of toxins called amatoxins, phallotoxins, and virotoxins. Amatoxins are the most toxic of these and cause liver and kidney failure by inhibiting an enzyme called RNA polymerase II, which is vital for cell metabolism.
The first symptoms of death cap mushroom poisoning typically appear 6-12 hours after ingestion and include nausea, diarrhoea, and other symptoms of gastrointestinal upset. After 12-36 hours, patients may experience a period of remission where they feel much better, but this is when the toxins are beginning to damage the liver and kidneys. The final stage, known as the hepatorenal phase, occurs 3-6 days after ingestion and is when the liver and kidneys start to shut down.
There is no widely effective antidote for death cap mushroom poisoning, but a compound called silibinin has been used to competitively bind to the same receptors in the liver that α-Amanitin binds to, reducing the degree of organ damage. Intravenous fluids, activated charcoal, and, in cases of liver failure, a liver transplant may also be used to support the patient.
Death cap mushrooms have a flat or slightly rounded cap that sits on top of a thick stalk. The cap is typically greenish with white gills and an off-white stem, but it can also be white or yellow-tinged, making it difficult to distinguish from edible mushrooms. They are typically found in forests growing on or near trees.

























