Orellanine poisoning

Orellanine, in the deadly webcap and the fool’s webcap (Cortinarius orellanus and rubellus).

Orellanine poisoning: how soon does it show?

Two to twenty days: the longest latency of any mushroom poison, so the meal is seldom remembered.

How does it run?

Thirst, nausea, and flank pain, then kidney failure, which in a third to a half of cases is permanent and needs dialysis or transplant.

What is done for it?

Supportive; dialysis. No antidote.

Historical and descriptive, not medical advice. In a poisoning, call a poison centre or emergency services.

Which substances in the database cause it?

Sources

  • Goldfrank’s Toxicologic Emergencies, 11th ed. (2019). Standard reference work
  • Danel, V. C., et al. (2001). “Main features of Cortinarius spp. poisoning.” Toxicon 39. Verified against its record · doi:10.1016/s0041-0101(00)00248-8