It is responsible for
poisonings in the
Pacific Northwest when mistaken for the
edible and sought after
Tricholoma murrillianum (Western matsutake). It causes initial gastrointestinal symptoms that manifest 1 to 12 hours after eating the mushrooms, followed by acute
nephritis after a delay of 2–6 days.
Hemodialysis appears to be an effective treatment and most patients recover normal kidney function within several weeks of ingestion. It is thought that
A. smithiana toxicity is from chlorocrotylglycine and allenic norleucine. Several similar species have been implicated in similar cases of poisoning:
A. sphaerobulbosa,
Saproamanita thiersii,
A. proxima, (Spain) and
A. pseudoporphyria (Japan). ==See also==