Symptoms include nausea, abdominal pain, vomiting, and diarrhea, appearing 6 to 24 hours after ingestion. Without prompt medical treatment, mushroom poisoning by death caps can progress to liver and kidney failure and, if untreated, coma and death. Staying hydrated alleviates symptoms, sometimes leading the victim to delay seeking medical treatment. Typical treatment is largely supportive and involves aggressive hydration and electrolyte replacement; in some cases liver transplantation may be necessary.
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