Loss of consciousness ranks among very common causes for emergency medical service actions and is common occurrence in the emergency department. Its differential diagnosis is very broad and includes many possible causes, not in the least an intoxication. The same applies to convulsive states. Clinical course of mushroom poisoning varies depending on the particular fungal species, with some of the species causing loss of consciousness. One typical representative of such species is panther cap (Amanita pantherina). This case report introduces panther cap poisoning, initially presenting in given patient as coma and protracted generalized convulsions. Complex treatment led to withdrawal of neurologic symptoms, circulatory and metabolic stabilisation and subsequent discharge without signs of permanent organ damage.

Department of Infectious Diseases and Travel Medicine Faculty of Medicine in Pilsen Charles University University Hospital Pilsen Pilsen Czech Republic

Department of Resuscitation and Multidisciplinary Intensive Care Unit Regional Hospital Kolín Kolín Czech Republic

Emergency Medical Service of the Central Bohemian Region Kladno Czech Republic

Emergency Medical Service of the Pilsen Region Pilsen Czech Republic

Faculty of Biomedical Engineering Czech Technical University Prague Kladno Czech Republic

St Elisabeth University of Health and Social Work in Bratislava Bratislava Slovakia