Clinical Toxicology

Article	Citations
Lactate as an early prognostic indicator in yellow phosphorus rodenticide-induced acute hepatic failure: a retrospective observational study in a tertiary care hospital	279
An attempted homicidal poisoning with bromadiolone	166
Carbon monoxide poisoning mortality in the United States from 2015–2021	162
Involuntary MDMB-4en-PINACA intoxications following cannabis consumption: clinical and analytical findings	94
Bites by exotic snakes reported to the UK National Poisons Information Service 2009–2020	90
Evaluation of the reproducibility and validity of the use of the causality assessment method for poisonings designed and applied by the French poison control centres	66
Seizures associated with single substance exposures in pediatric patients: a 15-year retrospective study	61
The critical time period for administering antivenom: golden hours and missed opportunities	57
External validation of the Tanta University Risk Model for predicting clinical outcomes in ICU patients with acute drug poisoning	48
Extrapyramidal effects in a young child with acute organophosphorus insecticide poisoning	48
Hemolysis associated with Russula subnigricans ingestion in a patient with glucose-6-phosphate dehydrogenase deficiency	46
Laboratory-guided repeat dosing of idarucizumab for dabigatran reversal	42
VipGrade ® electronic clinical tool: retrospective evaluation on a paediatric cohort of European viper bites	40
Comment on Fomepizole as an adjunct in acetylcysteine treated acetaminophen overdose patients: a case series	36
Oral ethanol prescribing for alcohol withdrawal syndrome: initial findings and future directions following implementation within a United Kingdom National Health Service setting	34
Diphenhydramine overdose with neuromuscular excitation	29
Thiocyanate toxicity: a teaching case	29
Response to the comment on “pediatric cannabis intoxication trends in the pre and post-legalization era”	26
Delayed peak methemoglobinemia after intentional sodium nitrate ingestion	24
Population pharmacokinetic analysis of acetaminophen overdose with immediate release, extended release and modified release formulations	22
Severe food-induced methaemoglobinaemia	20
In memoriam: Steven Alan Seifert (1950–2022)	19
From coma to recovery: removal of amanitin by percutaneous transhepatic bile drainage in severe Amanita subjunquillea mushroom poisoning	19
Assessing the impact of a new medical toxicology service on the treatment of paracetamol overdose at a large tertiary care hospital	18
Overview of pesticide exposures reported to the Moroccan Poison Control and Pharmacovigilance Center between 1980 and 2021	17

Veratrum parviflorum poisoning: identification of steroidal alkaloids in patient blood and breast milk	17
Out-of-hospital assessment and triage of paracetamol (acetaminophen) exposure in the United States and Canada: a consensus guideline	17
Clinical toxicology of acute glyphosate self-poisoning: impact of plasma concentrations of glyphosate, its metabolite and polyethoxylated tallow amine surfactants on the toxicity	16
Kounis syndrome associated with remdesivir therapy in a COVID-19 patient	16
Abnormalities in brain magnetic resonance imaging associated with vigabatrin therapy in an infant with infantile epileptic spasms syndrome	16
Clinical features of seven patients poisoned with a tolfenpyrad-based insecticide in Thailand	15
Risk of peri-intubation adverse events during emergency department intubation of overdose patients: a national emergency airway registry (near) analysis	15
Severe systemic inflammatory response and acute kidney injury induced by Kambô intoxication	15
Treating ethylene glycol poisoning with alcohol dehydrogenase inhibition, but without extracorporeal treatments: a systematic review	15
Dynamic myocardial injury and variable hallucination latency in Psilocybe keralensis poisoning: a molecularly confirmed case series from China	15
Sotalol poisoning and its unique treatment considerations compared with traditional therapies for beta-adrenoceptor blocking drug poisoning	14
Vasodilation in patients with calcium channel blocker poisoning treated with high-dose insulin: a comparison of amlodipine versus non-dihydropyridines	13
Risk factors for deliberate self-poisoning among children and adolescents in The Netherlands	13
Factors associated with seizure in tramadol overdose: a 12-year retrospective study in Hong Kong	13
Amlodipine fatality trends	13
Relationship between reported dose and outcome in amlodipine exposures: a 25-year retrospective poison center review	12
Giant T waves and QT interval prolongation associated with guanfacine toxicity	12
Ototoxicity following direct inner ear exposure to metallic mercury	12
Correction	12
Repeated poisonings in Denmark – a nationwide study	12
Laboratory features in acute paediatric poisoning with liquid laundry detergent capsules: a seven-year retrospective study in Romania	12
An unexpected computed tomography finding in a suspected body packer	12
E-cigarette or vaping-associated lung injury (EVALI): a review of international case reports from outside the United States of America	11
Lack of cholinergic features in healthcare workers caring for a patient with organophosphate poisoning	11
North American Congress of Clinical Toxicology (NACCT) 2025	11
Dose-related hypoglycemia in venlafaxine poisoning: a retrospective cohort study	11
Severe lead poisoning from an old ceramic carafe exacerbated by an acidic beverage	11
A “madd”-ening confounding: fruit seeds mimicking enteral drug concealment by computed tomography	10
Gastric perforation after polyurethane foam ingestion	10
Identification and clinical management of etomidate-like substance withdrawal	10
Clinical features of snake envenomation in South Korea	10
The serum glycolate concentration: its prognostic value and its correlation to surrogate markers in ethylene glycol exposures	10
Optic nerve sheath diameter measurements to predict delayed neurological sequelae after carbon monoxide poisoning	10
Adverse events in the U.S. following ocular exposure to alcohol-based hand sanitizers	10
Pesticide use, agricultural outputs, and pesticide poisoning deaths in Japan	9
Unraveling tenfold administration errors of oral risperidone solution in children	9
An MDMA cluster and the utility of illicit drug blood sampling	9
Lidocaine overdose: tumescent liposuction jeopardy	9
Anaphylactoid reactions to acetylcysteine treatment in wild mushroom poisoning patients in Yunnan, China	9
Outcomes of benzonatate exposures reported to a single United States poison center: a 20-year review	9
Efficacy of lipid emulsion therapy in treating cardiotoxicity from diphenhydramine ingestion: a review and analysis of case reports	9
Radiological changes in lead poisoning	9
Hemodialysis enhances elimination of ethosuximide in massive overdose	9
Adherence of caregivers of children to advice provided by a National Poison Information Center	8
Plasma concentrations of phenibut and mitragynine in a single patient	8
Ingestion of tartar emetic (antimony potassium tartrate)	8
Trends in intentional abuse and misuse ingestions in school-aged children and adolescents reported to US poison centers from 2000-2020	8
Supratherapeutic digoxin concentrations after second trimester termination of pregnancy	8
Ferric chloride ingestion with corrosive gastritis	8
Detection of ethanol, cannabinoids, benzodiazepines, and opioids in older adults evaluated for serious injuries from falls	8

Comparison of two-bag and three-bag acetylcysteine regimens in the treatment of paracetamol poisoning: a systematic review and meta-analysis	8
Association of prescription drug monitoring programs with benzodiazepine prescription dispensation and overdose in adolescents and young adults	8
A clinical study and laboratory evaluation of the cardiac and hepatic toxic effects of paraphenylenediamine	8
The effect of acetylcysteine on the prothrombin time and international normalized ratio: a narrative review	8
Ambulance referrals to an Australian Poisons Information Centre: a retrospective series	8
Correction	8
A severe case of Levamisole-induced vasculitis	8
Sodium bicarbonate treatment for QRS widening in bupropion overdoses	8
Unintentional poisoning in older Australians: a retrospective audit of New South Wales Poisons Information Centre data	7
Ivabradine exposures reported to United States poison centers 2015–2023	7
Intravenous phytonadione administered orally in reducing warfarin-related coagulopathy	7
Amanita exitialis poisoning in five patients	7
Accuracy and replicability of identifying eyelid tremor as an indicator of recent cannabis smoking	7
The vitamin B12 analog cobinamide ameliorates azide toxicity in cells, Drosophila melanogaster, and mice	7
Valacyclovir neurotoxicity and kinetics in a patient with impaired kidney function	7
Correction	7
Expanding the evidence for managing metformin poisoning to support decision-making	7
Cannabis positivity rates in 17 emergency departments across the United States with varying degrees of marijuana legalization	7
Identifying and quantifying exposures involving counterfeit opioid analgesic products	7
Management of button battery ingestion	7
Delayed cardiac arrest after hydrofluoric acid ingestion	7
Tralopyril poisoning due to respiratory exposure	7
Corrections	7
Correction	7
Synthetic cannabinoid poisonings and access to the legal cannabis market: findings from US national poison centre data 2016–2019	7
Predictors of FabAV use in copperhead envenomation	7
An outbreak of Galerina sulciceps -like (Galerina cf. sulciceps) mushroom poisoning	7
Transdermal buprenorphine patch-facilitated induction of sublingual buprenorphine in hospitalized patients receiving full agonist opioids: a retrospective cohort study	7
The minor cannabinoid cannabigerol (CBG) is a highly specific blood biomarker of recent cannabis smoking	7
Authors’ reply to comment on “Efficacy of lipid emulsion therapy in treating cardiotoxicity from diphenhydramine ingestion”	7
COVID-19 lockdowns and incidence of psychoactive substance exposure according to age and sex	7
Subclinical adrenal suppression and urine immunoassay detection of etomidate in an electronic cigarette user	7
Barriers to the performance of timely hemodialysis when recommended by one United States poison center: a retrospective review	6
Impact of marijuana legalization on cannabis-related visits to the emergency department	6
Adrenal insufficiency associated with long-term use of electronic cigarettes reportedly containing etomidate in two patients	6
Midodrine exposure trends and outcomes reported to United States poison centers: 2000–2023	6
Poisoning and envenomation linkage to evaluate outcomes and clinical variation in Australia (PAVLOVA): a longitudinal data-linkage cohort of acute poisonings, envenomations, and adverse drug reactions	6
ToxNet: an artificial intelligence designed for decision support for toxin prediction	6
22nd Scientific Congress of The Asia Pacific Association of Medical Toxicology (APAMT) 11-14 November 2024, Penang, Malaysia	6
Paracetamol (acetaminophen) poisoning; consensus definitions of poisoning types and outcomes to be used in the clinical toxicology recommendations collaborative systematic review	6
Comment on “Severe morel mushroom poisonings in France” by Vodovar et al.	6
Comment on “effectiveness and tolerability of methylthioninium chloride (methylene blue) for the treatment of methemoglobinemia: twenty-four years of experience at a single poison center”	6
2022 Annual Report of the National Poison Data System ® (NPDS) from America’s Poison Centers ® : 40th Annual Report	6
Comparison of bedside clotting tests for detecting venom-induced consumption coagulopathy following Sri Lankan viper envenoming	6
Comment on “Efficacy of lipid emulsion therapy in treating cardiotoxicity from diphenhydramine ingestion: a review and analysis of case reports”	6
Chemical epiglottitis causing airway compromise after benzalkonium chloride ingestion	6
Laryngeal edema after ingestion of an ornamental plant ( Alocasia odora ): serial clinical images in an elderly patient	6
Massive warfarin overdose management in an adolescent patient	6
Factors associated with prolonged intensive care stay among self-poisoned patients	6
Metronidazole-induced encephalopathy in a patient with spondylodiscitis	6
Xylazine poisoning: a systematic review	6
Clinical effects of occupational clonidine poisoning and efficacy of extracorporeal blood purification therapies	6
Defining the roles of computed tomography and esophagogastroduodenoscopy in patients with caustic ingestions	5
Incidence of rebound salicylate toxicity following cessation of urine alkalinization	5
Cerebrospinal fluid lactate gap in ethylene glycol poisoning	5
Physostigmine reversal of delirium from second generation antipsychotic exposure: a retrospective cohort study from a regional poison center	5
Analysis of clinical challenges and prognostic risk factors for 195 cases of iatrogenic botulism in China	5
Towards policy impact – an exploration of Clinical Toxicology research cited in policy documents and patents	5
Accidental intravenous acetaminophen overdose in an infant without development of hepatotoxicity: a case report	5
A recent increasing occurrence of etomidate and propoxate/isopropoxate misuse	5
Exposure to hand sanitisers and other cleaning products in Victoria, Australia during the COVID-19 pandemic	5
Hermodice carunculata envenomation on the French Riviera: an emerging mediterranean risk	5
Poisoning in older adults: characterization of exposures reported to the Dutch Poisons Information Center	5
Radiopaque rodenticide	5
Short message service as a tool for mass follow-up of patients requesting a poison centre: a retrospective comparative study in France	5
Harm due to the use of pressure bandage immobilisation in patients bitten by snakes in Australia	5
Medication errors in inquiries to the Poison Information Center Erfurt — a systematic analysis	5
Does snake envenoming cause chronic kidney disease? A cohort study in rural Sri Lanka	5
Methotrexate-induced epidermal necrosis	5
Once, twice, three times a bite victim: recidivism in snake envenomation	5
Delta-8 tetrahydrocannabinol, delta-10 tetrahydrocannabinol, and tetrahydrocannabinol-O acetate exposures reported to America’s Poison Centers	5
Emerging synthetic cannabinoids detected by a drug checking service in Toronto, Canada	5
Comparison of children receiving extracorporeal treatments for poisoning at United States centers with and without a pediatric nephrologist	5
Comment on “lipid emulsion therapy during management of the critically-ill poisoned patient: a prospective cohort study”	5
Unintentional poisoning from decanted toxic household chemicals	5
Ethyl chloride poisoning from inhalational misuse: clinical features and outcomes	5
Reply to Comments on Fomepizole as an adjunct in acetylcysteine treated acetaminophen overdose patients: a case series	5
Clinical characteristics of hospitalized patients with paracetamol poisoning before and after restrictions of over-the-counter sale of paracetamol	5
Correction	5
Hair straightening and acute kidney injury: a case series from a medical toxicology service	5

Challenges with glucagon-like peptide-1 (GLP-1) agonist initiation: a case series of semaglutide overdose administration errors	5
Seven patients with analytically confirmed MDMB-4en-PINACA toxicity associated with the use of electronic vaping devices	5
Fatal lead encephalopathy following the ingestion of fishing weights (“sinkers”)	4
Exogenous [Pyr 1 ]apelin-13 prevents bupivacaine-induced cardiotoxicity via the apelin (APJ) receptor	4
Demographics and clinical characteristics of organ donors after fatal poisoning in Poland from 2020 to 2024	4
Authors’ reply to comment on “effectiveness and tolerability of methylthioninium chloride (methylene blue) for the treatment of methemoglobinemia: twenty-four years of experience at a single poison ce	4
Increased prevalence of pentylone and dipentylone in combination with other drugs in New South Wales, Australia	4
Predicting serotonin toxicity in serotonin reuptake inhibitor overdose	4
Local envenoming following a bite by Montivipera xanthina	4
Molecular identification of Amanita ibotengutake from patient vomit specimens in mushroom poisoning	4
Severe outcomes following pediatric cannabis intoxication: a prospective cohort study of an international toxicology surveillance registry	4
The influence of the model pesticides parathion and paraoxon on human cytochrome P450 and associated oxygenases in HepaRG cells	4
Leveraging augmented reality for remote medical toxicology training using an observed clinical case-based simulation: a novel educational approach	4
Measurement of an intestinal biomarker during poisonings from select toxicants and toxins	4
A cluster of acute thebaine poisonings from non-food grade poppy seeds in the Australian food supply	4
Levamisole associated with linear IgA dermatosis	4
Chlorfenapyr poisoning: a systematic review	4
Ingestion of heated tobacco sticks containing a micro-blade by children: the importance of performing a radiograph	4
Minding the osmol gap: a sentinel event and subsequent laboratory investigation	4
Edible cannabinoid exposure in pediatric patients: comparing hospital and poison center data	4
Viper envenomation in Central and Southeastern Europe: a multicentre study	4
High concordance between urine toxicology results and self-reported fentanyl use in Nevada and New Mexico	4
Body packers and body stuffers: cocaine intoxications reported to French poison centers (January 1, 2020—December 31, 2024)	4
Fluvoxamine used to treat COVID-19 resulting in theophylline toxicity from CYP 1A2 drug–drug interaction	4
The relationships of plasma profenofos and ethanol concentrations to clinical outcome in acute profenofos self-poisoning	4
Severe metabolic derangements in an adolescent with cannabinoid hyperemesis syndrome	4
Common pitfalls in the use of hypertonic sodium bicarbonate for cardiac toxic drug poisonings	4
Hexahydrocannabinol poisoning reported to French poison centres	4
National assessment of anti-epileptic drug exposures among pre-teens and adolescents, 2000–2020	4
Authors’ reply to comment on Fox et al. “Out-of-hospital assessment and triage of paracetamol (acetaminophen) exposure in the United States and Canada: a consensus guideline”	4
N-desethyl isotonitazene detected in polydrug users admitted to hospital in Birmingham, United Kingdom	4
Nitazenes: review of comparative pharmacology and antagonist action	4
Reported recreational drug and new psychoactive substance use versus laboratory detection of substances by high-resolution mass spectrometry in patients presenting to an emergency department in London	4
Performance of computed tomography and its reliability for the diagnosis of transmural gastrointestional necrosis in a setting of acute ingestion of predominantly strong acid substances in adults	4
Response to Klein et al. 2023	4
Association between initial diquat plasma concentration, severity index and in-hospital mortality in patients with acute diquat poisoning: a retrospective cohort study	3
Assessment of high-dose acetylcysteine in acute high-risk paracetamol (acetaminophen) ingestion	3
The Goiânia incident, the semiotics of danger, and the next 10,000 years	3
Dose ingested, vomiting, and outcome in patients ingesting a standard paraquat 20SL formulation	3
Differences in clinical features associated with cannabis intoxication in presentations to European emergency departments according to patient age and sex	3
Psilocybine services in Oregon: a call for awareness among clinical toxicologists	3
Effect of pesticide ban on suicide trend – a 20-year study from a tertiary care center in Central Kerala from 2001 to 2020	3
A food product as a potential serious cause of liver injury	3
Methaemoglobinaemia and oesophageal burns after accidental ingestion of an alkyl nitrite	3
Trends in opioid exposures among young children reported to United States poison centers from 2016 to 2023	3
Comparing development of liver injury using the two versus three bag acetylcysteine regimen despite early treatment in paracetamol overdose	3
Derivation and internal validation of a clinical prediction score to predict major effect or death in acute metamfetamine toxicity	3
Unexpected refractory hypotension following intradermal minoxidil injection	3
Clinical effects of cannabis compared to synthetic cannabinoid receptor agonists (SCRAs): a retrospective cohort study of presentations with acute toxicity to European hospitals between 2013 and 2020	3
Defining recent cannabis use analytically	3
North American Congress of Clinical Toxicology (NACCT) 2022	3
Tapentadol exposures and poisonings in Australia	3
Outcomes of pediatric ingestions of alcohol-based hand sanitizers during the COVID-19 pandemic	3
Dexamethasone therapy prevents delayed neuropsychiatric sequelae after carbon monoxide poisoning: a prospective registry-based study	3
Treatment of poisoned patients should never be “aggressive”	3
Comment on: “validation of a nomogram used to predict lithium concentration in overdose”	3
The role of QRS complex prolongation in predicting severe toxicity in single-xenobiotic overdose	3
Lack of toxicity after simultaneous application of 17 lidocaine 4% patches	3
Successful delivery following acute maternal diquat poisoning	3
Hypercalcemia and elevated lipase after cement accelerator ingestion	3
Comment on Beneki E, Dimitriadis K, Antonopoulos A, Aggeli K & Tsioufis K. Kounis syndrome due to remdesivir allergy	3
A fatal case of polyoxyethylated- p -nonylphenol surfactant (Wetter 600) ingestion	3
Olanzapine/samidorphan precipitated opioid withdrawal in a patient taking transdermal fentanyl	3
The use of lipid emulsion therapy in severe hydroxychloroquine overdose – a narrative review of case reports	3
Effect of Agkistrodon halys antivenom in patients bit by green pit viper and the prognostic role of the disease – a retrospective cohort study	3
Clinical characteristics, treatment, and outcomes of local anesthetic systemic toxicity: a 10-year retrospective study	3
After the bite: evaluating a specialized clinic for follow-up care for snake envenomation	3
Clinical and pathological characteristics of acute kidney injury caused by diquat poisoning	3
Association of the OPRM1 variant rs1799971 (A118G) and clinical manifestations in tramadol poisoned patients: a cross-sectional study	3
Study of micro-signals: proposed analysis methodology based on data from the Lille Poison Control and Toxicovigilance Center	3
Use of large language models to optimize poison center charting	3
Authors’ reply to comment on: clinical experience with titrating doses of digoxin antibodies in acute digoxin poisoning	3
Identification of a novel opioid, N-piperidinyl etonitazene (etonitazepipne), in patients with suspected opioid overdose	3
Suspected stonefish envenomation in Queensland over eight years: a retrospective series	3
Peri-mortem rigidity in a fatal case of severe salicylate poisoning	3
Plant identification applications do not reliably identify toxic and edible plants in the American Midwest	3
Public health risk due to contamination of Solanum nigrum in frozen green beans – collaboration effort between a poison centre, a hospital and health authorities	3
Clinical effects, outcomes, and disposition of unintentional pediatric mushroom exposures reported to United States poison centers from 2009 through 2023	3
Dazed and confused: variability in reported and measured tetrahydrocannabinol content in cannabis edibles	3
Relative safety and quality of various dietary supplement products U.S. Service Members ask about	3
Pre-hospital triage of children at risk of oesophageal button battery impaction: the button battery impaction score	3
American College of Medical Toxicology and the American Academy of Clinical Toxicology position statement: nalmefene should not replace naloxone as the primary opioid antidote at this time	3
Pharmacobezoar: a rare cause of body packing misdiagnosis	3
Low risk of adverse events associated with flumazenil administration: a retrospective poison center analysis of acutely poisoned patients	3
Synthetic cathinones in Belgium: a cluster of poly-drug intoxications involving α-pyrrolidinoisohexiophenone (α-PiHP)	3
Inhalant misuse reported to America’s Poison Centers, 2001–2021	2
Seniors and single-use detergent sacs (SUDS): a review of the National Poison Data System from 2012 to 2020	2
Fasciotomy following North American pit viper envenomation in Texas 2004–2021	2
Comment on West et al. "Identifying and quantifying exposures involving counterfeit opioid analgesic products"	2
Lipid emulsion for the treatment of acute organophosphate poisoning: an Open-Label randomized trial	2
Developing new antidotes for poisons with existing effective treatments: a case study of fomepizole in paracetamol poisoning	2
Diagnosis of cocaine-induced midline destructive lesions	2
Can endogenous ethylene glycol production occur in humans? A detailed investigation of adult monozygotic twin sisters	2
Lung injury caused by aspiration of organophosphorus insecticide and gastric contents in pigs	2
Clinical Toxicology Expert Reviewers 2024	2