Rhabdomyolysis (the yellow knight)

The man on horseback, Tricholoma equestre, after several meals in a week; the agent is unknown.

Rhabdomyolysis (the yellow knight): how soon does it show?

One to four days after repeated meals.

How does it run?

Weakness and pain of the muscles, dark urine from the myoglobin, and in the worst cases the heart muscle and the breathing fail. Bedry reported twelve cases from south-west France in 2001, three of them fatal; cases from Poland followed, and the mushroom, long sold as a delicacy, was banned from sale in France and Italy.

What is done for it?

Fluids to protect the kidneys; supportive care.

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

Which substances in the database cause it?

Sources

  • Bedry, R., et al. (2001). “Wild-mushroom intoxication as a cause of rhabdomyolysis.” New England Journal of Medicine 345. Verified against its record · doi:10.1056/nejmoa010581
  • Nieminen, P., and Mustonen, A.-M. (2020). “Toxic potential of traditionally consumed mushroom species: a controversial continuum with many unanswered questions.” Toxins 12.