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	200
Extrapyramidal effects in a young child with acute organophosphorus insecticide poisoning	190
Seizures associated with single substance exposures in pediatric patients: a 15-year retrospective study	96
Laboratory-guided repeat dosing of idarucizumab for dabigatran reversal	95
An attempted homicidal poisoning with bromadiolone	91
Effect of oral silymarin in patients with acute hepatotoxic mushroom poisoning: an analysis of poison center data	85
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	63
Cholinergic syndrome: a diagnostic challenge due to donepezil poisoning	53
Hemolysis associated with Russula subnigricans ingestion in a patient with glucose-6-phosphate dehydrogenase deficiency	37
Oral ethanol prescribing for alcohol withdrawal syndrome: initial findings and future directions following implementation within a United Kingdom National Health Service setting	35
Bites by exotic snakes reported to the UK National Poisons Information Service 2009–2020	34
Correlation between laboratory indicators and severity of viper snakebite and limb swelling: a retrospective study in southwestern China	27
External validation of the Tanta University Risk Model for predicting clinical outcomes in ICU patients with acute drug poisoning	24
VipGrade ® electronic clinical tool: retrospective evaluation on a paediatric cohort of European viper bites	23
Psychoactive mushroom edibles: trends and toxicities reported to the United States National Poison Data System®, 2023–2024	23
Carbon monoxide poisoning mortality in the United States from 2015–2021	21
The critical time period for administering antivenom: golden hours and missed opportunities	21
Population pharmacokinetic analysis of acetaminophen overdose with immediate release, extended release and modified release formulations	20
Delayed peak methemoglobinemia after intentional sodium nitrate ingestion	20
From coma to recovery: removal of amanitin by percutaneous transhepatic bile drainage in severe Amanita subjunquillea mushroom poisoning	20
Diphenhydramine overdose with neuromuscular excitation	20
In memoriam: Steven Alan Seifert (1950–2022)	18
Assessing the impact of a new medical toxicology service on the treatment of paracetamol overdose at a large tertiary care hospital	17
Risk factors for deliberate self-poisoning among children and adolescents in The Netherlands	17
Clinical toxicology of acute glyphosate self-poisoning: impact of plasma concentrations of glyphosate, its metabolite and polyethoxylated tallow amine surfactants on the toxicity	17

Veratrum parviflorum poisoning: identification of steroidal alkaloids in patient blood and breast milk	16
Kounis syndrome associated with remdesivir therapy in a COVID-19 patient	16
Dynamic myocardial injury and variable hallucination latency in Psilocybe keralensis poisoning: a molecularly confirmed case series from China	15
Abnormalities in brain magnetic resonance imaging associated with vigabatrin therapy in an infant with infantile epileptic spasms syndrome	15
Severe systemic inflammatory response and acute kidney injury induced by Kambô intoxication	15
Sotalol poisoning and its unique treatment considerations compared with traditional therapies for beta-adrenoceptor blocking drug poisoning	14
Overview of pesticide exposures reported to the Moroccan Poison Control and Pharmacovigilance Center between 1980 and 2021	14
Investigation of Amanita molliuscula poisoning outbreaks in Heilongjiang province, China	14
Clinical features of seven patients poisoned with a tolfenpyrad-based insecticide in Thailand	14
Severe food-induced methaemoglobinaemia	13
Factors associated with seizure in tramadol overdose: a 12-year retrospective study in Hong Kong	13
Amlodipine fatality trends	13
Risk of peri-intubation adverse events during emergency department intubation of overdose patients: a national emergency airway registry (near) analysis	13
Out-of-hospital assessment and triage of paracetamol (acetaminophen) exposure in the United States and Canada: a consensus guideline	13
Vasodilation in patients with calcium channel blocker poisoning treated with high-dose insulin: a comparison of amlodipine versus non-dihydropyridines	13
Ototoxicity following direct inner ear exposure to metallic mercury	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	12
Giant T waves and QT interval prolongation associated with guanfacine toxicity	12
Laboratory features in acute paediatric poisoning with liquid laundry detergent capsules: a seven-year retrospective study in Romania	12
Gastric perforation after polyurethane foam ingestion	11
Three cases of wood-lover paralysis: clinical insights from Victoria, Australia	11
Clinical features of snake envenomation in South Korea	11
Relationship between reported dose and outcome in amlodipine exposures: a 25-year retrospective poison center review	11
Identification and clinical management of etomidate-like substance withdrawal	11
Drugs detected in suspected pediatric exposures: a 5-year review	11
E-cigarette or vaping-associated lung injury (EVALI): a review of international case reports from outside the United States of America	11
Correction	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	11
Optic nerve sheath diameter measurements to predict delayed neurological sequelae after carbon monoxide poisoning	11
North American Congress of Clinical Toxicology (NACCT) 2025	10
Severe lead poisoning from an old ceramic carafe exacerbated by an acidic beverage	10
Hemodialysis enhances elimination of ethosuximide in massive overdose	10
Dose-related hypoglycemia in venlafaxine poisoning: a retrospective cohort study	10
An MDMA cluster and the utility of illicit drug blood sampling	10
Outcomes of benzonatate exposures reported to a single United States poison center: a 20-year review	10
Ambulance referrals to an Australian Poisons Information Centre: a retrospective series	10
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
Aspiration-induced lung injury in acute drug and ethanol poisoning: incidence, risk factors, and clinical predictors	9
Adherence of caregivers of children to advice provided by a National Poison Information Center	9
Trends in intentional abuse and misuse ingestions in school-aged children and adolescents reported to US poison centers from 2000-2020	9
Sodium bicarbonate treatment for QRS widening in bupropion overdoses	9
Ingestion of tartar emetic (antimony potassium tartrate)	9
Unraveling tenfold administration errors of oral risperidone solution in children	9
Radiological changes in lead poisoning	9
Plasma concentrations of phenibut and mitragynine in a single patient	9
Correction	9

Anaphylactoid reactions to acetylcysteine treatment in wild mushroom poisoning patients in Yunnan, China	9
Ferric chloride ingestion with corrosive gastritis	8
Correction	8
Subclinical adrenal suppression and urine immunoassay detection of etomidate in an electronic cigarette user	8
Valacyclovir neurotoxicity and kinetics in a patient with impaired kidney function	8
Effect of various mediums on water bead expansion in acidic and neutral solutions	8
Detection of ethanol, cannabinoids, benzodiazepines, and opioids in older adults evaluated for serious injuries from falls	8
A clinical study and laboratory evaluation of the cardiac and hepatic toxic effects of paraphenylenediamine	8
Corrections	8
The vitamin B12 analog cobinamide ameliorates azide toxicity in cells, Drosophila melanogaster, and mice	8
The minor cannabinoid cannabigerol (CBG) is a highly specific blood biomarker of recent cannabis smoking	8
Expanding the evidence for managing metformin poisoning to support decision-making	8
Comparison of two-bag and three-bag acetylcysteine regimens in the treatment of paracetamol poisoning: a systematic review and meta-analysis	8
Correction	8
Tralopyril poisoning due to respiratory exposure	8
Synthetic cannabinoid poisonings and access to the legal cannabis market: findings from US national poison centre data 2016–2019	8
Cannabis positivity rates in 17 emergency departments across the United States with varying degrees of marijuana legalization	8
Comparison of bedside clotting tests for detecting venom-induced consumption coagulopathy following Sri Lankan viper envenoming	7
Ivabradine exposures reported to United States poison centers 2015–2023	7
Adrenal insufficiency associated with long-term use of electronic cigarettes reportedly containing etomidate in two patients	7
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”	7
An outbreak of Galerina sulciceps -like (Galerina cf. sulciceps) mushroom poisoning	7
Management of button battery ingestion	7
Laryngeal edema after ingestion of an ornamental plant ( Alocasia odora ): serial clinical images in an elderly patient	7
Midodrine exposure trends and outcomes reported to United States poison centers: 2000–2023	7
Paracetamol (acetaminophen) poisoning; consensus definitions of poisoning types and outcomes to be used in the clinical toxicology recommendations collaborative systematic review	7
Unintentional poisoning in older Australians: a retrospective audit of New South Wales Poisons Information Centre data	7
Metronidazole-induced encephalopathy in a patient with spondylodiscitis	7
Comment on “Severe morel mushroom poisonings in France” by Vodovar et al.	7
Chemical epiglottitis causing airway compromise after benzalkonium chloride ingestion	7
Barriers to the performance of timely hemodialysis when recommended by one United States poison center: a retrospective review	6
Can the intensive care requirement score improve triage at the emergency department for acutely intoxicated patients?	6
Toxicity profile of supratherapeutic loperamide: a systematic review and dose–response analysis	6
2022 Annual Report of the National Poison Data System ® (NPDS) from America’s Poison Centers ® : 40th Annual Report	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
Massive warfarin overdose management in an adolescent patient	6
Accuracy and replicability of identifying eyelid tremor as an indicator of recent cannabis smoking	6
Identification of prognostic factors and development of a prognostic model in patients with acute diquat (200 g/L) poisoning	6
ToxNet: an artificial intelligence designed for decision support for toxin prediction	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
Ethyl chloride poisoning from inhalational misuse: clinical features and outcomes	6
Amanita exitialis poisoning in five patients	6
Identifying and quantifying exposures involving counterfeit opioid analgesic products	6
Transdermal buprenorphine patch-facilitated induction of sublingual buprenorphine in hospitalized patients receiving full agonist opioids: a retrospective cohort study	6
Delayed cardiac arrest after hydrofluoric acid ingestion	6
Acute tetraparesis following inhalational exposure to acetamiprid	6
Clinical effects of occupational clonidine poisoning and efficacy of extracorporeal blood purification therapies	6
Short message service as a tool for mass follow-up of patients requesting a poison centre: a retrospective comparative study in France	6
Telehealth and the opioid crisis during COVID-19: urban-rural disparities in emergency care and poison center teleconsultations	5
Comparison of children receiving extracorporeal treatments for poisoning at United States centers with and without a pediatric nephrologist	5
Harm due to the use of pressure bandage immobilisation in patients bitten by snakes in Australia	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
Challenges with glucagon-like peptide-1 (GLP-1) agonist initiation: a case series of semaglutide overdose administration errors	5
Correction	5
Physostigmine reversal of delirium from second generation antipsychotic exposure: a retrospective cohort study from a regional poison center	5
The influence of the model pesticides parathion and paraoxon on human cytochrome P450 and associated oxygenases in HepaRG cells	5
Clinical characteristics of hospitalized patients with paracetamol poisoning before and after restrictions of over-the-counter sale of paracetamol	5
Hair straightening and acute kidney injury: a case series from a medical toxicology service	5
The persistent fear of compartment syndrome in snakebite envenomation: implications for fasciotomy decision-making	5
Radiopaque rodenticide	5
Incidence of rebound salicylate toxicity following cessation of urine alkalinization	5
Analysis of clinical challenges and prognostic risk factors for 195 cases of iatrogenic botulism in China	5
Seven patients with analytically confirmed MDMB-4en-PINACA toxicity associated with the use of electronic vaping devices	5
Neuromuscular and cytotoxic effects of common cobra ( Naja naja ) bites in rural Sri Lanka	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
Outcomes of extra-dose exposures of Vaughan Williams Class I or III antidysrhythmic medications	5
Emerging synthetic cannabinoids detected by a drug checking service in Toronto, Canada	5
Methotrexate-induced epidermal necrosis	5
Defining the roles of computed tomography and esophagogastroduodenoscopy in patients with caustic ingestions	5
Hermodice carunculata envenomation on the French Riviera: an emerging mediterranean risk	5
Towards policy impact – an exploration of Clinical Toxicology research cited in policy documents and patents	5
Poisoning in older adults: characterization of exposures reported to the Dutch Poisons Information Center	5
Severe metabolic derangements in an adolescent with cannabinoid hyperemesis syndrome	5
A recent increasing occurrence of etomidate and propoxate/isopropoxate misuse	5
A 10-year retrospective study of patients with acquired methemoglobinemia: causative agents, clinical characteristics, and outcomes	5
Severe outcomes following pediatric cannabis intoxication: a prospective cohort study of an international toxicology surveillance registry	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

Levamisole associated with linear IgA dermatosis	4
High concordance between urine toxicology results and self-reported fentanyl use in Nevada and New Mexico	4
Predicting serotonin toxicity in serotonin reuptake inhibitor overdose	4
Common pitfalls in the use of hypertonic sodium bicarbonate for cardiac toxic drug poisonings	4
Molecular identification of Amanita ibotengutake from patient vomit specimens in mushroom poisoning	4
Hexahydrocannabinol poisoning reported to French poison centres	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
Chlorfenapyr poisoning: a systematic review	4
Acute bronchorrhoea and respiratory distress as the initial presentation of organophosphorus insecticide poisoning in a young child	4
Does snake envenoming cause chronic kidney disease? A cohort study in rural Sri Lanka	4
Response to Klein et al. 2023	4
Exogenous [Pyr 1 ]apelin-13 prevents bupivacaine-induced cardiotoxicity via the apelin (APJ) receptor	4
Ingestion of heated tobacco sticks containing a micro-blade by children: the importance of performing a radiograph	4
Body packers and body stuffers: cocaine intoxications reported to French poison centers (January 1, 2020—December 31, 2024)	4
Increased prevalence of pentylone and dipentylone in combination with other drugs in New South Wales, Australia	4
Local envenoming following a bite by Montivipera xanthina	4
N-desethyl isotonitazene detected in polydrug users admitted to hospital in Birmingham, United Kingdom	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
Recommendations from the Clinical Toxicology Recommendations Collaborative on the administration of activated charcoal in acute oral overdose	4
Measurement of an intestinal biomarker during poisonings from select toxicants and toxins	4
Demographics and clinical characteristics of organ donors after fatal poisoning in Poland from 2020 to 2024	4
Edible cannabinoid exposure in pediatric patients: comparing hospital and poison center data	4
Leveraging augmented reality for remote medical toxicology training using an observed clinical case-based simulation: a novel educational approach	4
Minding the osmol gap: a sentinel event and subsequent laboratory investigation	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	3
Acute unintentional single-substance pediatric exposures to direct factor Xa inhibitors reported to US Poison Centers, 2011–2019	3
A fatal case of polyoxyethylated- p -nonylphenol surfactant (Wetter 600) ingestion	3
Link between paediatric suicidal poisonings and school calendar: a national French Poison Centres study	3
Identification of a novel opioid, N-piperidinyl etonitazene (etonitazepipne), in patients with suspected opioid overdose	3
Clinical effects, outcomes, and disposition of unintentional pediatric mushroom exposures reported to United States poison centers from 2009 through 2023	3
Trends in opioid exposures among young children reported to United States poison centers from 2016 to 2023	3
Outcomes of pediatric ingestions of alcohol-based hand sanitizers during the COVID-19 pandemic	3
Suspected stonefish envenomation in Queensland over eight years: a retrospective series	3
Dazed and confused: variability in reported and measured tetrahydrocannabinol content in cannabis edibles	3
Insulin concentrations following termination of high-dose insulin euglycemic therapy	3
Defining recent cannabis use analytically	3
Association between initial diquat plasma concentration, severity index and in-hospital mortality in patients with acute diquat poisoning: a retrospective cohort study	3
AusVapeSafety: a prospective observational study of vape exposures and outcomes to an Australian Poisons Information Centre	3
Study of micro-signals: proposed analysis methodology based on data from the Lille Poison Control and Toxicovigilance Center	3
Dexamethasone therapy prevents delayed neuropsychiatric sequelae after carbon monoxide poisoning: a prospective registry-based study	3
The use of lipid emulsion therapy in severe hydroxychloroquine overdose – a narrative review of case reports	3
Successful delivery following acute maternal diquat poisoning	3
Fatal aminopyrine and caffeine poisoning	3
A food product as a potential serious cause of liver injury	3
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	3
QT interval prolongation in acute antipsychotic poisoning: systematic review and recommendations	3
Cyanide toxicity from high-dose nitroprusside infusion in a critically ill patient on veno-arterial extracorporeal membrane oxygenation	3
North American Congress of Clinical Toxicology (NACCT) 2022	3
Implications of unexpectedly detectable methanol in patients presenting to an urban emergency department	3
Pharmacobezoar: a rare cause of body packing misdiagnosis	3
Detection of bromazolam alongside other misused substances	3
Pre-hospital triage of children at risk of oesophageal button battery impaction: the button battery impaction score	3
After the bite: evaluating a specialized clinic for follow-up care for snake envenomation	3
Derivation and internal validation of a clinical prediction score to predict major effect or death in acute metamfetamine toxicity	3
Lamotrigine-induced Stevens–Johnson syndrome: a systematic review of case reports and case series	3
Synthetic cathinones in Belgium: a cluster of poly-drug intoxications involving α-pyrrolidinoisohexiophenone (α-PiHP)	3
Hyperbaric oxygen therapy for diquat-induced toxic brain injury in the subacute or chronic phase	3
The Goiânia incident, the semiotics of danger, and the next 10,000 years	3
Lack of toxicity after simultaneous application of 17 lidocaine 4% patches	3
The role of QRS complex prolongation in predicting severe toxicity in single-xenobiotic overdose	3
Phosphine poisoning: a case series including one fatality following fumigation with aluminium phosphide	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
Dose ingested, vomiting, and outcome in patients ingesting a standard paraquat 20SL formulation	3
Viper envenomation in Central and Southeastern Europe: a multicentre study	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
Comparative evaluation of ammonium chloride-modified and hospital-grade activated charcoal for paracetamol adsorption under simulated gastric (pepsin) and intestinal (pancreatin) fluid	3
Clinical Toxicology expert reviewers 2025	3
A cluster of acute thebaine poisonings from non-food grade poppy seeds in the Australian food supply	3
Tapentadol exposures and poisonings in Australia	3
Hypercalcemia and elevated lipase after cement accelerator ingestion	3
Correction	3
Treatment of poisoned patients should never be “aggressive”	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
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
Use of large language models to optimize poison center charting	3
Assessment of high-dose acetylcysteine in acute high-risk paracetamol (acetaminophen) ingestion	3
Association of the OPRM1 variant rs1799971 (A118G) and clinical manifestations in tramadol poisoned patients: a cross-sectional study	3
Severe neurotoxicity from accidental tetrabenazine ingestion in a child, with laboratory confirmation	3
The risk of secondary exposure in the operating room from a sulfur mustard-contaminated penetrating wound using a simulation scenario	3
Unexpected refractory hypotension following intradermal minoxidil injection	3
Psilocybine services in Oregon: a call for awareness among clinical toxicologists	3
Peri-mortem rigidity in a fatal case of severe salicylate poisoning	3
Xylazine detection in urine of fentanyl-positive patients from a single academic center	3
The relationships of plasma profenofos and ethanol concentrations to clinical outcome in acute profenofos self-poisoning	3
Methaemoglobinaemia and oesophageal burns after accidental ingestion of an alkyl nitrite	3
Comment on Beneki E, Dimitriadis K, Antonopoulos A, Aggeli K & Tsioufis K. Kounis syndrome due to remdesivir allergy	3
Clinical characteristics, treatment, and outcomes of local anesthetic systemic toxicity: a 10-year retrospective study	3
Plant identification applications do not reliably identify toxic and edible plants in the American Midwest	3
Nitazenes: review of comparative pharmacology and antagonist action	3
Low risk of adverse events associated with flumazenil administration: a retrospective poison center analysis of acutely poisoned patients	3
Venomous snakebites in children: a 10 year experience in South China	2
Pediatric opioid use-associated neurotoxicity with cerebellar edema (POUNCE) syndrome	2
Cannabidiol exposures in the United States, National Poison Data System, July 2014–June 2021	2
Toxic epidermal necrolysis associated with the use of levetiracetam	2
The potential of keratinized matrices for the retrospective exploration of repeated ayahuasca use by patients	2