SLUDGE syndrome


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SLUDGE syndrome

A symptom complex occurring 15–60 mins after ingesting certain mushrooms–eg, Inocybe spp, Clitocybe spp, etc Clinical ↑ Salivation, Lacrimation, Urination, Defecation, Gastritis, Emesis–whence the acronym; SS is caused by muscarine, an anticholinergic, and accompanied by constricted pupils, bradycardia Management Atropine

SLUDGE syndrome

s(alivation, ) l(acrimation, ) u(rination, ) d(efecation, other gastrointestinal symptoms, and) e(mesis) (a toxicity resulting from drugs or poisons that increase the activity of the parasympathetic nervous system, specifically its cholinergic effects). A prominent cause of SLUDGE syndrome is poisoning by organophosphate pesticides, e.g., malathion.