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	175
Seizures associated with single substance exposures in pediatric patients: a 15-year retrospective study	170
Extrapyramidal effects in a young child with acute organophosphorus insecticide poisoning	94
Hemolysis associated with Russula subnigricans ingestion in a patient with glucose-6-phosphate dehydrogenase deficiency	91
External validation of the Tanta University Risk Model for predicting clinical outcomes in ICU patients with acute drug poisoning	72
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	62
Laboratory-guided repeat dosing of idarucizumab for dabigatran reversal	60
VipGrade ® electronic clinical tool: retrospective evaluation on a paediatric cohort of European viper bites	56
Oral ethanol prescribing for alcohol withdrawal syndrome: initial findings and future directions following implementation within a United Kingdom National Health Service setting	49
An attempted homicidal poisoning with bromadiolone	44
Thiocyanate toxicity: a teaching case	42
The critical time period for administering antivenom: golden hours and missed opportunities	40
Carbon monoxide poisoning mortality in the United States from 2015–2021	34
Effect of oral silymarin in patients with acute hepatotoxic mushroom poisoning: an analysis of poison center data	34
Bites by exotic snakes reported to the UK National Poisons Information Service 2009–2020	30
Diphenhydramine overdose with neuromuscular excitation	29
Delayed peak methemoglobinemia after intentional sodium nitrate ingestion	25
Population pharmacokinetic analysis of acetaminophen overdose with immediate release, extended release and modified release formulations	24
In memoriam: Steven Alan Seifert (1950–2022)	21
From coma to recovery: removal of amanitin by percutaneous transhepatic bile drainage in severe Amanita subjunquillea mushroom poisoning	21
Abnormalities in brain magnetic resonance imaging associated with vigabatrin therapy in an infant with infantile epileptic spasms syndrome	20
Out-of-hospital assessment and triage of paracetamol (acetaminophen) exposure in the United States and Canada: a consensus guideline	20
Assessing the impact of a new medical toxicology service on the treatment of paracetamol overdose at a large tertiary care hospital	20
Sotalol poisoning and its unique treatment considerations compared with traditional therapies for beta-adrenoceptor blocking drug poisoning	19
Amlodipine fatality trends	19

Severe systemic inflammatory response and acute kidney injury induced by Kambô intoxication	17
Veratrum parviflorum poisoning: identification of steroidal alkaloids in patient blood and breast milk	17
Risk of peri-intubation adverse events during emergency department intubation of overdose patients: a national emergency airway registry (near) analysis	17
Dynamic myocardial injury and variable hallucination latency in Psilocybe keralensis poisoning: a molecularly confirmed case series from China	17
Kounis syndrome associated with remdesivir therapy in a COVID-19 patient	16
Risk factors for deliberate self-poisoning among children and adolescents in The Netherlands	16
Clinical features of seven patients poisoned with a tolfenpyrad-based insecticide in Thailand	15
Severe food-induced methaemoglobinaemia	14
Treating ethylene glycol poisoning with alcohol dehydrogenase inhibition, but without extracorporeal treatments: a systematic review	13
Vasodilation in patients with calcium channel blocker poisoning treated with high-dose insulin: a comparison of amlodipine versus non-dihydropyridines	13
Investigation of Amanita molliuscula poisoning outbreaks in Heilongjiang province, China	13
Overview of pesticide exposures reported to the Moroccan Poison Control and Pharmacovigilance Center between 1980 and 2021	13
Clinical toxicology of acute glyphosate self-poisoning: impact of plasma concentrations of glyphosate, its metabolite and polyethoxylated tallow amine surfactants on the toxicity	13
Factors associated with seizure in tramadol overdose: a 12-year retrospective study in Hong Kong	12
Giant T waves and QT interval prolongation associated with guanfacine toxicity	12
Ototoxicity following direct inner ear exposure to metallic mercury	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
Repeated poisonings in Denmark – a nationwide study	12
Lack of cholinergic features in healthcare workers caring for a patient with organophosphate poisoning	11
Identification and clinical management of etomidate-like substance withdrawal	11
North American Congress of Clinical Toxicology (NACCT) 2025	11
Correction	11
Dose-related hypoglycemia in venlafaxine poisoning: a retrospective cohort study	11
The serum glycolate concentration: its prognostic value and its correlation to surrogate markers in ethylene glycol exposures	11
Efficacy of lipid emulsion therapy in treating cardiotoxicity from diphenhydramine ingestion: a review and analysis of case reports	11
Relationship between reported dose and outcome in amlodipine exposures: a 25-year retrospective poison center review	11
Severe lead poisoning from an old ceramic carafe exacerbated by an acidic beverage	11
Optic nerve sheath diameter measurements to predict delayed neurological sequelae after carbon monoxide poisoning	11
Adverse events in the U.S. following ocular exposure to alcohol-based hand sanitizers	11
A “madd”-ening confounding: fruit seeds mimicking enteral drug concealment by computed tomography	10
Radiological changes in lead poisoning	10
Lidocaine overdose: tumescent liposuction jeopardy	10
Clinical features of snake envenomation in South Korea	10
Gastric perforation after polyurethane foam ingestion	10
Unraveling tenfold administration errors of oral risperidone solution in children	10
E-cigarette or vaping-associated lung injury (EVALI): a review of international case reports from outside the United States of America	10
Pesticide use, agricultural outputs, and pesticide poisoning deaths in Japan	10
Outcomes of benzonatate exposures reported to a single United States poison center: a 20-year review	10
Plasma concentrations of phenibut and mitragynine in a single patient	9
Anaphylactoid reactions to acetylcysteine treatment in wild mushroom poisoning patients in Yunnan, China	9
Adherence of caregivers of children to advice provided by a National Poison Information Center	9
Detection of ethanol, cannabinoids, benzodiazepines, and opioids in older adults evaluated for serious injuries from falls	9
A clinical study and laboratory evaluation of the cardiac and hepatic toxic effects of paraphenylenediamine	9
Hemodialysis enhances elimination of ethosuximide in massive overdose	9
Ferric chloride ingestion with corrosive gastritis	9
The effect of acetylcysteine on the prothrombin time and international normalized ratio: a narrative review	9
Association of prescription drug monitoring programs with benzodiazepine prescription dispensation and overdose in adolescents and young adults	9
An MDMA cluster and the utility of illicit drug blood sampling	9
Ambulance referrals to an Australian Poisons Information Centre: a retrospective series	9

Correction	9
Supratherapeutic digoxin concentrations after second trimester termination of pregnancy	8
Tralopyril poisoning due to respiratory exposure	8
Authors’ reply to comment on “Efficacy of lipid emulsion therapy in treating cardiotoxicity from diphenhydramine ingestion”	8
Predictors of FabAV use in copperhead envenomation	8
Correction	8
A severe case of Levamisole-induced vasculitis	8
Correction	8
Expanding the evidence for managing metformin poisoning to support decision-making	8
The minor cannabinoid cannabigerol (CBG) is a highly specific blood biomarker of recent cannabis smoking	8
Valacyclovir neurotoxicity and kinetics in a patient with impaired kidney function	8
Sodium bicarbonate treatment for QRS widening in bupropion overdoses	8
Comparison of two-bag and three-bag acetylcysteine regimens in the treatment of paracetamol poisoning: a systematic review and meta-analysis	8
Corrections	8
Cannabis positivity rates in 17 emergency departments across the United States with varying degrees of marijuana legalization	8
Effect of various mediums on water bead expansion in acidic and neutral solutions	8
Unintentional poisoning in older Australians: a retrospective audit of New South Wales Poisons Information Centre data	8
Trends in intentional abuse and misuse ingestions in school-aged children and adolescents reported to US poison centers from 2000-2020	8
Ingestion of tartar emetic (antimony potassium tartrate)	8
Amanita exitialis poisoning in five patients	7
Ivabradine exposures reported to United States poison centers 2015–2023	7
Identifying and quantifying exposures involving counterfeit opioid analgesic products	7
Barriers to the performance of timely hemodialysis when recommended by one United States poison center: a retrospective review	7
Synthetic cannabinoid poisonings and access to the legal cannabis market: findings from US national poison centre data 2016–2019	7
Subclinical adrenal suppression and urine immunoassay detection of etomidate in an electronic cigarette user	7
Comparison of bedside clotting tests for detecting venom-induced consumption coagulopathy following Sri Lankan viper envenoming	7
Laryngeal edema after ingestion of an ornamental plant ( Alocasia odora ): serial clinical images in an elderly patient	7
Delayed cardiac arrest after hydrofluoric acid ingestion	7
The vitamin B12 analog cobinamide ameliorates azide toxicity in cells, Drosophila melanogaster, and mice	7
Factors associated with prolonged intensive care stay among self-poisoned patients	7
ToxNet: an artificial intelligence designed for decision support for toxin prediction	7
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	7
Short message service as a tool for mass follow-up of patients requesting a poison centre: a retrospective comparative study in France	6
Clinical characteristics of hospitalized patients with paracetamol poisoning before and after restrictions of over-the-counter sale of paracetamol	6
Incidence of rebound salicylate toxicity following cessation of urine alkalinization	6
Metronidazole-induced encephalopathy in a patient with spondylodiscitis	6
Accuracy and replicability of identifying eyelid tremor as an indicator of recent cannabis smoking	6
Comment on “Severe morel mushroom poisonings in France” by Vodovar et al.	6
Xylazine poisoning: a systematic review	6
Radiopaque rodenticide	6
22nd Scientific Congress of The Asia Pacific Association of Medical Toxicology (APAMT) 11-14 November 2024, Penang, Malaysia	6
Cerebrospinal fluid lactate gap in ethylene glycol poisoning	6
Unintentional poisoning from decanted toxic household chemicals	6
Comment on “lipid emulsion therapy during management of the critically-ill poisoned patient: a prospective cohort study”	6
Can the intensive care requirement score improve triage at the emergency department for acutely intoxicated patients?	6
Massive warfarin overdose management in an adolescent patient	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
Chemical epiglottitis causing airway compromise after benzalkonium chloride ingestion	6
Transdermal buprenorphine patch-facilitated induction of sublingual buprenorphine in hospitalized patients receiving full agonist opioids: a retrospective cohort study	6
Comment on “Efficacy of lipid emulsion therapy in treating cardiotoxicity from diphenhydramine ingestion: a review and analysis of case reports”	6
Ethyl chloride poisoning from inhalational misuse: clinical features and outcomes	6
Analysis of clinical challenges and prognostic risk factors for 195 cases of iatrogenic botulism in China	6
Adrenal insufficiency associated with long-term use of electronic cigarettes reportedly containing etomidate in two patients	6
An outbreak of Galerina sulciceps -like (Galerina cf. sulciceps) mushroom poisoning	6
Paracetamol (acetaminophen) poisoning; consensus definitions of poisoning types and outcomes to be used in the clinical toxicology recommendations collaborative systematic review	6
Management of button battery ingestion	6
Midodrine exposure trends and outcomes reported to United States poison centers: 2000–2023	6
2022 Annual Report of the National Poison Data System ® (NPDS) from America’s Poison Centers ® : 40th Annual Report	6
Clinical effects of occupational clonidine poisoning and efficacy of extracorporeal blood purification therapies	6
Neuromuscular and cytotoxic effects of common cobra ( Naja naja ) bites in rural Sri Lanka	5
Measurement of an intestinal biomarker during poisonings from select toxicants and toxins	5
Fluvoxamine used to treat COVID-19 resulting in theophylline toxicity from CYP 1A2 drug–drug interaction	5
A recent increasing occurrence of etomidate and propoxate/isopropoxate misuse	5
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	5
Emerging synthetic cannabinoids detected by a drug checking service in Toronto, Canada	5
Delta-8 tetrahydrocannabinol, delta-10 tetrahydrocannabinol, and tetrahydrocannabinol-O acetate exposures reported to America’s Poison Centers	5
Accidental intravenous acetaminophen overdose in an infant without development of hepatotoxicity: a case report	5
Defining the roles of computed tomography and esophagogastroduodenoscopy in patients with caustic ingestions	5
Once, twice, three times a bite victim: recidivism in snake envenomation	5
Ingestion of heated tobacco sticks containing a micro-blade by children: the importance of performing a radiograph	5
Severe metabolic derangements in an adolescent with cannabinoid hyperemesis syndrome	5
Exogenous [Pyr 1 ]apelin-13 prevents bupivacaine-induced cardiotoxicity via the apelin (APJ) receptor	5
Physostigmine reversal of delirium from second generation antipsychotic exposure: a retrospective cohort study from a regional poison center	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
Outcomes of extra-dose exposures of Vaughan Williams Class I or III antidysrhythmic medications	5
Medication errors in inquiries to the Poison Information Center Erfurt — a systematic analysis	5
Methotrexate-induced epidermal necrosis	5
Exposure to hand sanitisers and other cleaning products in Victoria, Australia during the COVID-19 pandemic	5
Response to Klein et al. 2023	5

Does snake envenoming cause chronic kidney disease? A cohort study in rural Sri Lanka	5
Correction	5
Poisoning in older adults: characterization of exposures reported to the Dutch Poisons Information Center	5
Comparison of children receiving extracorporeal treatments for poisoning at United States centers with and without a pediatric nephrologist	5
Seven patients with analytically confirmed MDMB-4en-PINACA toxicity associated with the use of electronic vaping devices	5
Towards policy impact – an exploration of Clinical Toxicology research cited in policy documents and patents	5
Harm due to the use of pressure bandage immobilisation in patients bitten by snakes in Australia	5
Hermodice carunculata envenomation on the French Riviera: an emerging mediterranean risk	5
Acute bronchorrhoea and respiratory distress as the initial presentation of organophosphorus insecticide poisoning in a young child	4
Local envenoming following a bite by Montivipera xanthina	4
Unexpected refractory hypotension following intradermal minoxidil injection	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
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	4
Increased prevalence of pentylone and dipentylone in combination with other drugs in New South Wales, Australia	4
Effect of Agkistrodon halys antivenom in patients bit by green pit viper and the prognostic role of the disease – a retrospective cohort study	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
N-desethyl isotonitazene detected in polydrug users admitted to hospital in Birmingham, United Kingdom	4
Predicting serotonin toxicity in serotonin reuptake inhibitor overdose	4
Edible cannabinoid exposure in pediatric patients: comparing hospital and poison center data	4
Levamisole associated with linear IgA dermatosis	4
Viper envenomation in Central and Southeastern Europe: a multicentre study	4
The use of lipid emulsion therapy in severe hydroxychloroquine overdose – a narrative review of case reports	4
Nitazenes: review of comparative pharmacology and antagonist action	4
Leveraging augmented reality for remote medical toxicology training using an observed clinical case-based simulation: a novel educational approach	4
Differences in clinical features associated with cannabis intoxication in presentations to European emergency departments according to patient age and sex	4
Minding the osmol gap: a sentinel event and subsequent laboratory investigation	4
The relationships of plasma profenofos and ethanol concentrations to clinical outcome in acute profenofos self-poisoning	4
Chlorfenapyr poisoning: a systematic review	4
Demographics and clinical characteristics of organ donors after fatal poisoning in Poland from 2020 to 2024	4
Molecular identification of Amanita ibotengutake from patient vomit specimens in mushroom poisoning	4
A cluster of acute thebaine poisonings from non-food grade poppy seeds in the Australian food supply	4
Clinical characteristics, treatment, and outcomes of local anesthetic systemic toxicity: a 10-year retrospective study	4
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	4
Body packers and body stuffers: cocaine intoxications reported to French poison centers (January 1, 2020—December 31, 2024)	4
Hexahydrocannabinol poisoning reported to French poison centres	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
National assessment of anti-epileptic drug exposures among pre-teens and adolescents, 2000–2020	4
Severe outcomes following pediatric cannabis intoxication: a prospective cohort study of an international toxicology surveillance registry	4
High concordance between urine toxicology results and self-reported fentanyl use in Nevada and New Mexico	4
The influence of the model pesticides parathion and paraoxon on human cytochrome P450 and associated oxygenases in HepaRG cells	4
Common pitfalls in the use of hypertonic sodium bicarbonate for cardiac toxic drug poisonings	4
Dexamethasone therapy prevents delayed neuropsychiatric sequelae after carbon monoxide poisoning: a prospective registry-based study	3
Hypercalcemia and elevated lipase after cement accelerator ingestion	3
Detection of bromazolam alongside other misused substances	3
Synthetic cathinones in Belgium: a cluster of poly-drug intoxications involving α-pyrrolidinoisohexiophenone (α-PiHP)	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
Comment on: “validation of a nomogram used to predict lithium concentration in overdose”	3
Identification of a novel opioid, N-piperidinyl etonitazene (etonitazepipne), in patients with suspected opioid overdose	3
Trends in opioid exposures among young children reported to United States poison centers from 2016 to 2023	3
Implications of unexpectedly detectable methanol in patients presenting to an urban emergency department	3
Successful delivery following acute maternal diquat poisoning	3
A fatal case of polyoxyethylated- p -nonylphenol surfactant (Wetter 600) ingestion	3
Dose ingested, vomiting, and outcome in patients ingesting a standard paraquat 20SL formulation	3
Outcomes of pediatric ingestions of alcohol-based hand sanitizers during the COVID-19 pandemic	3
Clinical effects, outcomes, and disposition of unintentional pediatric mushroom exposures reported to United States poison centers from 2009 through 2023	3
Association between initial diquat plasma concentration, severity index and in-hospital mortality in patients with acute diquat poisoning: a retrospective cohort study	3
Olanzapine/samidorphan precipitated opioid withdrawal in a patient taking transdermal fentanyl	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
Defining recent cannabis use analytically	3
Derivation and internal validation of a clinical prediction score to predict major effect or death in acute metamfetamine toxicity	3
Low risk of adverse events associated with flumazenil administration: a retrospective poison center analysis of acutely poisoned patients	3
Use of large language models to optimize poison center charting	3
North American Congress of Clinical Toxicology (NACCT) 2022	3
The Goiânia incident, the semiotics of danger, and the next 10,000 years	3
Pre-hospital triage of children at risk of oesophageal button battery impaction: the button battery impaction score	3
Suspected stonefish envenomation in Queensland over eight years: a retrospective series	3
Assessment of high-dose acetylcysteine in acute high-risk paracetamol (acetaminophen) ingestion	3
Xylazine detection in urine of fentanyl-positive patients from a single academic center	3
Phosphine poisoning: a case series including one fatality following fumigation with aluminium phosphide	3
Clinical and pathological characteristics of acute kidney injury caused by diquat poisoning	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
Treatment of poisoned patients should never be “aggressive”	3
QT interval prolongation in acute antipsychotic poisoning: systematic review and recommendations	3
A food product as a potential serious cause of liver injury	3
Insulin concentrations following termination of high-dose insulin euglycemic therapy	3
Peri-mortem rigidity in a fatal case of severe salicylate poisoning	3
Pharmacobezoar: a rare cause of body packing misdiagnosis	3
The risk of secondary exposure in the operating room from a sulfur mustard-contaminated penetrating wound using a simulation scenario	3
Tapentadol exposures and poisonings in Australia	3
Association of the OPRM1 variant rs1799971 (A118G) and clinical manifestations in tramadol poisoned patients: a cross-sectional study	3
After the bite: evaluating a specialized clinic for follow-up care for snake envenomation	3
Comment on Beneki E, Dimitriadis K, Antonopoulos A, Aggeli K & Tsioufis K. Kounis syndrome due to remdesivir allergy	3
Dazed and confused: variability in reported and measured tetrahydrocannabinol content in cannabis edibles	3
Clinical characteristics of patients in the emergency department involved in the recreational use of etomidate and its analogues confirmed by liquid chromatography–tandem mass spectrometry	3
Hyperbaric oxygen therapy for diquat-induced toxic brain injury in the subacute or chronic phase	3
Psilocybine services in Oregon: a call for awareness among clinical toxicologists	3
Study of micro-signals: proposed analysis methodology based on data from the Lille Poison Control and Toxicovigilance Center	3
Methaemoglobinaemia and oesophageal burns after accidental ingestion of an alkyl nitrite	3
Plant identification applications do not reliably identify toxic and edible plants in the American Midwest	3
Efficacy of unithiol (2,3-dimercaptopropanesulfonate) and acetylcysteine in a patient with arthroplastic cobalt toxicity	3
Relative safety and quality of various dietary supplement products U.S. Service Members ask about	3
Evaluation of the relationship of xylazine and fentanyl blood concentrations among fentanyl-associated fatalities	2
Occupational exposure to methyl acetate resulting in methanol poisoning	2
Clinical characteristics and outcomes of bites from rhabdophis siamensis : a retrospective study	2