
Amanita phalloides, commonly known as the death cap mushroom, is a deadly poisonous basidiomycete fungus and mushroom. It is responsible for the majority of fatal mushroom poisonings worldwide. Symptoms of death cap mushroom toxicity usually occur 6 to 12 hours after ingestion, and death can occur within 48 hours. The mortality rate of ingestion of the death cap mushroom is believed to be around 10–30%. The toxins of the death cap mushroom primarily target the liver, causing it to stop functioning and eventually leading to liver failure. Other organs, such as the kidneys, can also be affected.
| Characteristics | Values |
|---|---|
| Scientific Name | Amanita phalloides |
| Common Name | Death Cap |
| Type | Basidiomycete fungus and mushroom |
| Origin | Europe |
| Appearance | Flat or slightly rounded cap that sits on top of a thick stalk. The cap colour is variable, including white forms, and is thus not a reliable identifier. |
| Toxicity | Contains three broad classes of toxins: Amatoxins, Phallotoxins, and Virotoxins. The most toxic of these is an amatoxin known as α-Amanitin. |
| Symptoms | Nausea, vomiting, abdominal pain, diarrhoea, jaundice, seizures, and coma. |
| Onset of Symptoms | 6-24 hours after ingestion. |
| Treatment | A compound called silibinin can be used to treat death cap poisoning. Other treatments include intravenous fluids and activated charcoal. In the case of liver failure, a liver transplant may be necessary. |
| Prevention | Do not eat wild mushrooms unless you are an expert. Do not touch or pick wild mushrooms with bare hands. |
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What You'll Learn
- Death cap mushrooms are deadly poisonous fungi that cause 90% of mushroom poisoning deaths worldwide
- The toxins in death cap mushrooms primarily target the liver, but other organs, such as the kidneys, are also affected
- Death cap mushrooms are easily confused with edible mushrooms, making them dangerous to humans and pets
- Symptoms of death cap mushroom poisoning usually occur 6-24 hours after ingestion and may include nausea, vomiting, abdominal pain, and diarrhoea
- Treatment for death cap mushroom poisoning should be sought immediately, even before symptoms occur, as early treatment increases the chances of survival

Death cap mushrooms are deadly poisonous fungi that cause 90% of mushroom poisoning deaths worldwide
Death cap mushrooms, scientifically known as Amanita phalloides, are deadly poisonous fungi that cause 90% of mushroom poisoning deaths worldwide. They are highly toxic and responsible for the majority of fatal mushroom poisonings globally. Their toxins primarily target the liver, but other organs, such as the kidneys, are also affected. Even a small amount of ingestion can be lethal, and symptoms of poisoning usually occur within 6 to 24 hours. These symptoms include nausea, vomiting, abdominal pain, diarrhoea, and jaundice, followed by seizures and coma, which can lead to death. The mortality rate of ingestion is estimated to be around 10-30%.
Death cap mushrooms are native to Europe but have now spread worldwide, including the East and West Coasts of the United States. They typically grow in forests, on or near trees, and their large fruiting bodies appear in spring, summer, and autumn. The caps are generally greenish with a white stipe and gills, but the cap colour can vary, making identification challenging. They closely resemble edible mushrooms, increasing the risk of accidental poisoning.
The major toxic mechanism of death cap mushrooms involves inhibiting RNA polymerase II, an essential enzyme in synthesising mRNA, microRNA, and snRNA. This inhibition halts cell metabolism and leads to cell death. The mushroom contains three broad classes of toxins: amatoxins, phallotoxins, and virotoxins. The most toxic is an amatoxin called α-Amanitin, which binds to receptors in the liver, causing it to stop functioning and eventually leading to liver failure.
Due to the serious health risks associated with death cap mushrooms, it is crucial to seek immediate medical attention if poisoning is suspected. Treatment should not be delayed, as early intervention improves the chances of survival. It is recommended to bring any remaining mushroom parts for identification and to wash hands and equipment that came into contact with the fungus. While there is no antidote, treatments aim to stabilise the patient and counteract the toxin's effects, and in advanced cases, a liver transplant may be necessary.
Identifying death cap mushrooms can be challenging, even for experienced collectors. When foraging mushrooms, it is essential to dig out the entire mushroom to examine the bottom of its stalk, a distinguishing feature. If unsure, it is advisable to have a mycologist identify the mushroom or opt for a different variety. Additionally, it is recommended to only consume mushrooms purchased from reputable sources, such as supermarkets or greengrocers, rather than picking and consuming wild mushrooms.
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The toxins in death cap mushrooms primarily target the liver, but other organs, such as the kidneys, are also affected
The death cap mushroom, scientifically known as Amanita phalloides, is a highly toxic fungus that resembles several edible mushrooms commonly consumed by humans. It is responsible for the majority of fatal mushroom poisonings worldwide, with an estimated mortality rate of 10-30%. The toxins in death cap mushrooms primarily target the liver, but other organs, such as the kidneys, are also affected.
The liver is the principal organ affected by the toxins in death cap mushrooms because it is the first organ encountered after absorption in the gastrointestinal tract. The toxins inhibit RNA polymerase II, a vital enzyme responsible for the synthesis of messenger RNA (mRNA), microRNA, and small nuclear RNA (snRNA). This inhibition halts essential protein synthesis and cell metabolism, leading to cell death. While the kidneys are also susceptible to the toxins, the early stages of poisoning focus on stabilizing the patient and counteracting the effects on the liver.
The symptoms of death cap mushroom toxicity usually occur 6 to 12 hours after ingestion, and may include nausea, vomiting, jaundice, seizures, and coma. In some cases, patients may experience a latent phase where the initial symptoms pass, giving a false impression of improvement. However, during this stage, the toxins continue to damage the liver and kidneys.
The final stage of death cap poisoning, known as the hepatorenal phase, occurs when the liver and kidneys are so severely damaged that they begin to shut down. This critical period requires immediate medical intervention and may even necessitate extreme measures such as a liver transplant. The challenging aspect of diagnosing death cap mushroom poisoning is that its early symptoms can be mistaken for other illnesses, emphasizing the importance of accurate mushroom identification before consumption to avoid accidental poisoning.
Death cap mushrooms are native to Europe but have now spread throughout the world, including the East and West Coasts of the United States. They typically grow in forests, on or near trees, and their large fruiting bodies emerge in spring, late summer, and fall. When foraging for mushrooms, it is crucial to exercise caution and properly identify mushrooms before consumption to avoid accidental poisoning.
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Death cap mushrooms are easily confused with edible mushrooms, making them dangerous to humans and pets
Death cap mushrooms (Amanita phalloides) are highly toxic and responsible for the majority of fatal mushroom poisonings worldwide. They are easily confused with edible mushrooms, making them dangerous to humans and pets.
Death cap mushrooms are native to Europe but can now be found worldwide, typically in forested areas on or near trees. They are identified by their flat or slightly rounded caps, which sit on top of a thick stalk. The cap colour varies, including white forms, and is therefore not a reliable identifier. The gills underneath the cap are white, and the base of the stem has a membranous cup. Death caps resemble several edible mushroom species, including Caesar's mushroom and the straw mushroom, commonly consumed by humans.
The major toxic mechanism of death cap mushrooms involves inhibiting RNA polymerase II, a vital enzyme in the synthesis of messenger RNA (mRNA), microRNA, and small nuclear RNA (snRNA). The toxins primarily target the liver, but other organs, such as the kidneys, are also affected. Symptoms of ingestion usually occur 6 to 24 hours after ingestion and may include nausea, vomiting, abdominal pain, diarrhoea, and jaundice. These symptoms may initially resemble those of other illnesses, and there may be a period of remission before more severe symptoms, such as seizures and coma, leading to death.
It is crucial to seek immediate medical attention if death cap mushroom ingestion is suspected. Treatment should not be delayed until symptoms occur, as early treatment increases the chances of survival. Taking any remaining mushroom to the hospital for identification is essential. It is also important to wash hands and any equipment that has come into contact with the mushroom.
To prevent accidental ingestion, it is recommended to avoid wild mushrooms altogether and only consume those purchased from reputable sources, such as supermarkets or greengrocers. When picking mushrooms, it is crucial to remove the entire mushroom from the ground to properly identify it, as death caps are most easily distinguished by the bottom of their stalks.
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Symptoms of death cap mushroom poisoning usually occur 6-24 hours after ingestion and may include nausea, vomiting, abdominal pain, and diarrhoea
Death cap mushrooms, scientifically known as Amanita phalloides, are a type of deadly poisonous basidiomycete fungus and mushroom. They are responsible for the majority of fatal mushroom poisonings worldwide, with 9 out of 10 fungi-related deaths attributable to them. The toxins found in death caps cause 90% of mushroom poisoning deaths. The major toxic mechanism of these toxins is the inhibition of RNA polymerase II, a vital enzyme in the synthesis of messenger RNA (mRNA), microRNA, and small nuclear RNA (snRNA).
Symptoms of death cap mushroom poisoning usually occur 6-12 hours after ingestion, but they can appear as early as 6 hours or as late as 24 hours. These symptoms may include nausea, vomiting, abdominal pain, and diarrhoea. In some cases, symptoms may improve or disappear for 1-2 days, giving a false impression of recovery. However, during this time, the toxin will have already caused serious liver damage, which is the primary site of toxicity. Other organs, such as the kidneys, are also affected.
If you suspect that you or someone else has ingested a death cap mushroom, it is crucial to seek immediate medical attention at a hospital emergency department. Do not wait for symptoms to occur, as the chances of survival increase with early treatment. Take any remaining mushroom to the hospital for identification, and wash your hands and any equipment or tools that may have come into contact with the mushroom. It is also important to note that cooking, peeling, drying, or soaking the mushroom does not make it edible.
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Treatment for death cap mushroom poisoning should be sought immediately, even before symptoms occur, as early treatment increases the chances of survival
The death cap mushroom, or Amanita phalloides, is one of the most poisonous mushrooms in the world and is responsible for the majority of fatal mushroom poisonings. Its toxins primarily target the liver, but other organs, such as the kidneys, are also affected. Symptoms of ingestion usually occur 6 to 12 hours after consumption and may include nausea, vomiting, jaundice, seizures, and coma, which can lead to death. The mortality rate of ingestion is estimated to be around 10-30%. Given the seriousness of death cap mushroom poisoning, treatment should be sought immediately, even before symptoms occur, as early treatment increases the chances of survival.
If you suspect that you or someone you know has ingested a death cap mushroom, it is crucial to act quickly. Call your local poison control center or emergency medical services, and provide as much information as possible about the mushroom, including its physical characteristics and the amount consumed. If possible, bring the mushroom with you to show medical professionals.
The early symptoms of death cap mushroom poisoning may resemble those of other illnesses, and there may be a period of apparent improvement before more severe symptoms arise. Therefore, it is essential to seek medical attention even if initial symptoms subside. Treatment for death cap mushroom poisoning varies depending on the time elapsed since ingestion and the severity of poisoning.
In the early stages of poisoning, treatment focuses on stabilizing the patient and counteracting the effects of the toxin. This may include administering antidotes such as N-acetylcysteine, pyridoxine, methylene blue, atropine, or glycopyrrolate, as per toxicologist recommendations. In some cases, a large dose of penicillin G may be given. The goal of early treatment is to prevent irreversible liver and kidney damage.
If death cap mushroom poisoning progresses to an advanced stage, more extreme measures may be necessary, such as a liver transplant. However, seeking immediate treatment can help prevent the condition from reaching this critical stage and improve the chances of a successful outcome.
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Frequently asked questions
The toxins of the death cap mushroom primarily target the liver, causing liver failure. Other organs, such as the kidneys, are also affected. Symptoms of death cap mushroom toxicity usually occur 6 to 24 hours after ingestion. Death can occur within 48 hours.
Symptoms of ingestion of the death cap mushroom may include nausea, abdominal pain, vomiting, diarrhoea, jaundice, seizures, and coma, which will lead to death.
Seek immediate medical attention at a hospital emergency department. Do not wait for symptoms to occur. Take any remaining mushroom to the hospital for identification.

























