The patient confessed that she had ingested 6 mushrooms from her daughter's front garden at 1 o'clock the previous afternoon. She had boiled the mushrooms before eating them, and no one else at home had consumed them. At 10 o'clock that evening she developed acute onset of watery diarrhea and nonbilious vomiting. Her daughter was asked to return home and bring back a sample of the mushrooms she had consumed. Subsequent consultation with a local mycologist confirmed the mushroom was Amanita phalloides ( Figure).