RENAL-TRANSPLANTATION AFTER CORTINARIUS-SPECIOSISSIMUS POISONING

During the years 1979-1993 22 individuals were intoxicated in Sweden by the mushroom Cortinarius speciosissimus. Nine of them developed end-stage renal failure (ESRF), and we describe five who have received renal transplants. Three were transplanted after 6-9 months on haemodialysis; the other two regained some renal function after 2-6 months on haemodialysis, but had to be restarted on dialysis 24-30 months later and were eventually transplanted. Two patients had kidneys donated by a father and a brother respectively, three had cadaveric organs. All five developed satisfactory renal function with current glomerular filtration rate (GFR) 31-79 ml/min (mean 56.2) after 5-10 (mean 7.0) years. To our knowledge, renal transplantation after Cortinarius poisoning has not been reported before.