Pubdate: Thu, 12 Jul 2001 Source: The Post and Courier (SC) Copyright: 2001 Evening Post Publishing Co. Contact: http://www.charleston.net/index.html Details: http://www.mapinc.org/media/567 Author: Lynne Langley DEADLY MUSHROOMS NEARLY KILL TEEN Teen-ager Brittany Frye and her friends were looking for a free high when they picked and ate what they thought were "magic mushrooms" near her Sumter home. The teens mistakenly gathered destroying angels, poisonous fungi that quickly destroyed Brittany's liver and would have killed her. It took the transplant of half her mother's liver and an estimated $350,000 in medical treatment to save the life of the 17-year-old, who had planned to take college entrance tests this week. Never before has a liver from a living donor been used to treat someone suffering from mushroom poisoning, said her transplant surgeon, Kenneth Chavin. "We had no choice. Brittany would have been dead in 24 hours," Chavin said. Her liver was gone, her brain swelling, her kidneys and pancreas and spleen at risk. Brittany had experimented with wild mushrooms in the past. The euphoria lasted about eight hours, she said Wednesday at the Medical University of South Carolina. Never again, she said, her voice weak from her Saturday surgery. "Don't eat mushrooms. You can't know which ones are going to kill you," she said. "You could die very easily." Her 16-year-old brother Andrew Frye said he's been around friends who used wild mushrooms and then behaved as if they were drunk. Mushrooms are attractive, he said, because they're free. "An unbelievable amount of teen-agers are doing 'shrooms," he said. It's pretty common, Brittany said. The teens and their father, James Frye, talked about their experience Wednesday in hopes of warning teens and parents. "It has opened my eyes," the father said. "You'd never think they'd walk out into a cow pasture and pick mushrooms that have this effect." Adults seem amazed, but teens always seem to know about 'shrooming, Frye said, adding he talked to a knowledgeable Summerville teen this week. He's learned from teens that mushrooms are free and easily accessible. Instead of trying to buy beer, he said he's been told, "The best thing to do is run out and get a mushroom and get high." Many mushrooms look similar to the white Amanita virosa mushroom, commonly called the destroying angel, said MUSC pharmacist Mark Baillie. From 10 percent to 30 percent of people who eat the mushroom die, he said. From 90 percent to 95 percent of mushroom poisonings worldwide are caused by Amanitas, he said, and just half a destroying angel, in its most potent stage, can kill a person. Brittany remembers eating a handful of caps and drinking mushshroom tea on July 2. She got nauseated six hours later and went to a Sumter emergency room. She was dehydrated and appeared to have food poisoning. She felt better only to get worse 24 hours later and return to the emergency room, where doctors found she was developing liver failure. At MUSC, Chavin said, it became clear that what she consumed was destroying her liver. While the transplant team waited for a liver from a dead donor, Brittany's condition declined so quickly that doctors instead considered a far newer alternative, taking part of the liver of a living donor. Her mother, Leisa Frye, was a good match and had a large enough liver and good enough health to undergo the risky donor surgery. "It's truly a mother's love that saved a child," Chavin said. MUSC began doing living donor liver transplants about six months ago, transplant surgeon Angello Lin said. If Brittany had eaten the poisonous mushrooms before then, he said, "Brittany probably would not be sitting here." "The transplant went fabulously," said Chavin, adding that success rates are usually poorer when a patient is as sick as Brittany was. By Wednesday, mother and daughter were doing well. Brittany might be released from the hospital by this weekend, Chavin said. "Her life will be different forever," he said. "She can get married and have kids, but her medical problem will have to be monitored forever." As for Brittany's two mushrooming companions, one developed liver problems but now seems to be recovering. The other, who was nauseated but not severely ill, probably ate a different kind of mushroom, Baillie said. Several similar-looking species were growing in the same field, he said. The destroying angel - as the Sumter mushroom was preliminarily identified - grows in woods and fields throughout North America from June to early November. The white mushroom, whose cap may discolor in the center with age, may sprout at a site one year, then not reappear for 10, Baillie said. - --- MAP posted-by: Keith Brilhart