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We have reported about a 63 year old woman, who, 1 to 2 hours after a meal containing mushrooms, became acutely ill, sank into uncontrollable shock, and died 24 hours later. Autoptically was found an acute yellow liver dystrophy in a previously existing fatty liver. Etiologically an intoxication by Amanita phalloides could be excluded as well as any other exogenic intoxication. The cause of the acute liver dystrophy was most probably a fulminant virus hepatitis. The decay of the fatty liver cells led to an unusally severe generalized fat embolism, which morphologically is regarded as the cause of death.
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