Orientia tsutsugamushi
"O. tsutsugamushi" causes a complex and dangerous infection scrub typhus. Infection starts when chiggers bite on the skin during their feeding. The bacteria are deposited at the site of feeding (inoculation), where they multiply. They cause progressive tissue damage (necrosis). Necrosis progresses to inflammation of the blood vessels called vasculitis. This in turn causes inflammation of the lymph nodes, called lymphadenopathy. Within a few days, vasculitis extends to various organs including liver, brain, kidney, meninges and the lung. The disease is responsible for nearly a quarter of all the febrile (high fever) illness in endemic areas. Mortality in severe case or due to improper treatment or misdiagnosis may be as high as 30-70%. About 6% of infected people die untreated, and 1.4% of the patients die even with medical treatment. Moreover, death rate can be as high as 13% where medical treatment is not properly handled. In cases of misdiagnosis and failure of treatment, systemic complications rapidly develop including acute respiratory distress syndrome, acute kidney failure, encephalitis, gastrointestinal bleeding, hepatitis, meningitis, myocarditis, pancreatitis, pneumonia, septic shock, sub-acute thyroiditis, and multi-organ dysfunctions. Harmful symptoms involving multiple organ failure and neurological impairment are difficult to treat, and can be lifelong debilitation or directly fatal. The central nervous system is often affected and result in various complications including cerebellitis, cranial nerve palsies, meningoencephalitis, plexopathy, transverse myelitis, neuroleptic malignant syndrome, and Guillan-Barré syndrome. Death rates due to complications can be up to 14% in brain infections, and 24% with multiple organ failure. It is the major cause of acute encephalitis syndrome in India, where viral infection Japanese encephalitis has been regarded as the main factor.
Amanita sphaerobulbosa
Ingestion of "Amanita sphaerobulbosa" fruit bodies is toxic to the liver. Laboratory experiments have shown that mice that ingested "A. sphaerobulbosa" mushroom extracts developed cholera-like symptoms. A minimum single lethal dose of mushroom extract (equivalent to 4.5 grams of fruiting body per kilogram of mouse body weight) caused mice to become prostrate 6 hours after injection; shortly after the mice had diarrhea, then ultimately died between 24 and 48 hours after administration of the extract. In Nagano, Japan in 1978, two women died from mushroom poisoning suspected to be caused by this species. The symptoms were characterized by the abrupt appearance of violent vomiting, diarrhea and dehydration after a delay of 10–20 hours. Although not as toxic as the destroying angel ("A. virosa") or the death cap ("A. phalloides"), "A. sphaerobulbosa" causes changes in liver function similar to these species. Effects include a decrease in blood sugar levels, depletion of stored carbohydrate reserves (liver glycogen), and an increase in transaminases.