Days before the ER visit, he had decided to use mushrooms by first boiling them down into what he called “mushroom tea,” then filtering the mixture through a cotton swab and intravenously injecting it. Soon after, he developed symptoms including lethargy, jaundice, diarrhea, and nausea, along with vomiting up blood.

By the time he was admitted to the hospital’s intensive care unit, multiple organs had started to fail, including his lungs and kidney. Tests revealed that he had both a bacterial and fungal infection in his blood, meaning that the mushrooms he injected were now literally feeding off him and growing. Among other treatments, he was given an intense course of antibiotics and antifungal drugs.

Boy fucking howdy. Saprophytes gonna sapro.

https://www.dropbox.com/s/1qh7mly5usyamj8/Giancola_2020_A%20%E2%80%9Ctrip%E2%80%9D%20to%20the%20ICU%20-%20intravenous%20injection%20of%20psilocybin.pdf?dl=0

Here is the case study, although it is very brief.

Initial exam was remarkable for O2 saturation on ro om air of 92%, heart rate of 100, and blood pressure of 75/47. He was noted to be ill-appearing with dry mucous membranes, mild cyanosis of the lips and nail beds, and jaundiced skin. His abdomen was diffusely tender to palpation without rebound or guarding. He was grossly confuse d and unable to meaningfully participate in an interview.

Laboratory studies revealed thrombocytopenia, hypon atremia, hyperkalemia, hypochloremia, hypocalcemia, acute renal insufficiency, and acute liver injury. Cardiac workup revealed elevated cardiac enzymes and his electrocardiogram was remarkable for sinus tachycardia and early repolarization. Mr. X was then transferred to the ICU for evidence of multi-organ failure and he was started on intravenous fluids, multiple vasopressors, broad spectrum antibiotics, and anti-fungal medications. His hospital course was fu rther complicated by septic shock and acute respiratory failure requiring intubation on hospita l day two and disseminated intravascular coagulation requiring plasmapheresis. Cultures conf irmed bacteremia (ultimately cultured as Brevibacillus) and fungemia (ultimately cultured as Psilocybe cubensis – i.e. the species of mushroom he had injected was now growing in his blo od). He was treated for a total of 22 days in the hospital with eight of them in the ICU. At t he time of writing, he is currently still being treated with a long-term regimen of daptomycin, mer openem, and voriconazole