Clinical Toxicology

Papers
(The median citation count of Clinical Toxicology is 1. The table below lists those papers that are above that threshold based on CrossRef citation counts [max. 250 papers]. The publications cover those that have been published in the past four years, i.e., from 2021-05-01 to 2025-05-01.)
ArticleCitations
Lactate as an early prognostic indicator in yellow phosphorus rodenticide-induced acute hepatic failure: a retrospective observational study in a tertiary care hospital254
Oral ethanol prescribing for alcohol withdrawal syndrome: initial findings and future directions following implementation within a United Kingdom National Health Service setting145
Laboratory-guided repeat dosing of idarucizumab for dabigatran reversal110
Dialyzability of lamotrigine by continuous venovenous haemodiafiltration93
Extrapyramidal effects in a young child with acute organophosphorus insecticide poisoning86
Bites by exotic snakes reported to the UK National Poisons Information Service 2009–202060
VipGrade ® electronic clinical tool: retrospective evaluation on a paediatric cohort of European viper bites47
In vitro analysis of n-acetylcysteine (NAC) interference with the international normalized ratio (INR)46
First step in assessment of VipGrade®, a computerized clinical decision system to assess Vipera envenomation grading: a single-center interrater reliability study42
Comment on Fomepizole as an adjunct in acetylcysteine treated acetaminophen overdose patients: a case series40
Thiocyanate toxicity: a teaching case37
An attempted homicidal poisoning with bromadiolone34
Involuntary MDMB-4en-PINACA intoxications following cannabis consumption: clinical and analytical findings34
Acute coronary syndrome from scombroid poisoning: a narrative review of case reports33
Carbon monoxide poisoning mortality in the United States from 2015–202130
Fomepizole dosing during continuous renal replacement therapy – an observational study27
Hemolysis associated with Russula subnigricans ingestion in a patient with glucose-6-phosphate dehydrogenase deficiency27
The critical time period for administering antivenom: golden hours and missed opportunities26
Risk factors for deliberate self-poisoning among children and adolescents in The Netherlands25
Response to the comment on “pediatric cannabis intoxication trends in the pre and post-legalization era”25
Diphenhydramine overdose with neuromuscular excitation24
Comment on “Rising incidence and high mortality in intentional sodium nitrite exposures reported to US poison centers”23
Clinical features of seven patients poisoned with a tolfenpyrad-based insecticide in Thailand21
Sentanyl: a comparison of blood fentanyl concentrations and naloxone dosing after non-fatal overdose20
Risk of peri-intubation adverse events during emergency department intubation of overdose patients: a national emergency airway registry (near) analysis20
Delayed peak methemoglobinemia after intentional sodium nitrate ingestion20
Kounis syndrome associated with remdesivir therapy in a COVID-19 patient18
From coma to recovery: removal of amanitin by percutaneous transhepatic bile drainage in severe Amanita subjunquillea mushroom poisoning18
Assessing the impact of a new medical toxicology service on the treatment of paracetamol overdose at a large tertiary care hospital18
In memoriam: Steven Alan Seifert (1950–2022)17
Treating ethylene glycol poisoning with alcohol dehydrogenase inhibition, but without extracorporeal treatments: a systematic review17
Severe food-induced methaemoglobinaemia17
Out-of-hospital assessment and triage of paracetamol (acetaminophen) exposure in the United States and Canada: a consensus guideline16
Veratrum parviflorum poisoning: identification of steroidal alkaloids in patient blood and breast milk16
Clinical toxicology of acute glyphosate self-poisoning: impact of plasma concentrations of glyphosate, its metabolite and polyethoxylated tallow amine surfactants on the toxicity14
Sotalol poisoning and its unique treatment considerations compared with traditional therapies for beta-adrenoceptor blocking drug poisoning14
Abnormalities in brain magnetic resonance imaging associated with vigabatrin therapy in an infant with infantile epileptic spasms syndrome14
Vasodilation in patients with calcium channel blocker poisoning treated with high-dose insulin: a comparison of amlodipine versus non-dihydropyridines13
Amlodipine fatality trends13
The serum glycolate concentration: its prognostic value and its correlation to surrogate markers in ethylene glycol exposures13
Population pharmacokinetic analysis of acetaminophen overdose with immediate release, extended release and modified release formulations13
Factors associated with seizure in tramadol overdose: a 12-year retrospective study in Hong Kong13
Giant T waves and QT interval prolongation associated with guanfacine toxicity12
Dose-related hypoglycemia in venlafaxine poisoning: a retrospective cohort study12
Ototoxicity following direct inner ear exposure to metallic mercury12
Gastric perforation after polyurethane foam ingestion12
Efficacy of lipid emulsion therapy in treating cardiotoxicity from diphenhydramine ingestion: a review and analysis of case reports11
Adverse events in the U.S. following ocular exposure to alcohol-based hand sanitizers11
Acute phenthoate self-poisoning: a prospective case series11
Laboratory features in acute paediatric poisoning with liquid laundry detergent capsules: a seven-year retrospective study in Romania11
E-cigarette or vaping-associated lung injury (EVALI): a review of international case reports from outside the United States of America10
Optic nerve sheath diameter measurements to predict delayed neurological sequelae after carbon monoxide poisoning10
Identification and clinical management of etomidate-like substance withdrawal10
Repeated poisonings in Denmark – a nationwide study10
Pesticide use, agricultural outputs, and pesticide poisoning deaths in Japan10
Clinical features of snake envenomation in South Korea10
An unexpected computed tomography finding in a suspected body packer10
A “madd”-ening confounding: fruit seeds mimicking enteral drug concealment by computed tomography10
Lack of cholinergic features in healthcare workers caring for a patient with organophosphate poisoning10
Making US poison centers a part of the solution to the COVID-19 pandemic9
The effect of acetylcysteine on the prothrombin time and international normalized ratio: a narrative review9
An MDMA cluster and the utility of illicit drug blood sampling9
Hemodialysis enhances elimination of ethosuximide in massive overdose9
Ferric chloride ingestion with corrosive gastritis9
Adherence of caregivers of children to advice provided by a National Poison Information Center9
Ambulance referrals to an Australian Poisons Information Centre: a retrospective series9
Comparison of two-bag and three-bag acetylcysteine regimens in the treatment of paracetamol poisoning: a systematic review and meta-analysis9
Gliclazide disposition in overdose – a case report with pharmacokinetic modeling9
A severe case of Levamisole-induced vasculitis9
Detection of ethanol, cannabinoids, benzodiazepines, and opioids in older adults evaluated for serious injuries from falls8
Association of prescription drug monitoring programs with benzodiazepine prescription dispensation and overdose in adolescents and young adults8
Trends in intentional abuse and misuse ingestions in school-aged children and adolescents reported to US poison centers from 2000-20208
Lidocaine overdose: tumescent liposuction jeopardy8
Estimation of the risk of local and systemic effects in infants after ingestion of low-concentrated weak acids from descaling products8
Radiological changes in lead poisoning8
Ingestion of tartar emetic (antimony potassium tartrate)8
Plasma concentrations of phenibut and mitragynine in a single patient8
Unraveling tenfold administration errors of oral risperidone solution in children8
Sodium bicarbonate treatment for QRS widening in bupropion overdoses8
A clinical study and laboratory evaluation of the cardiac and hepatic toxic effects of paraphenylenediamine8
Correction7
Unintentional poisoning in older Australians: a retrospective audit of New South Wales Poisons Information Centre data7
The minor cannabinoid cannabigerol (CBG) is a highly specific blood biomarker of recent cannabis smoking7
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 sex7
Corrections7
Predictors of FabAV use in copperhead envenomation7
Ciguatera fish poisoning in the age of discovery and the age of enlightenment7
Valacyclovir neurotoxicity and kinetics in a patient with impaired kidney function7
Population pharmacokinetics of immediate-release and modified-release paracetamol and its major metabolites in a supratherapeutic dosing study7
Correction7
Subclinical adrenal suppression and urine immunoassay detection of etomidate in an electronic cigarette user7
Expanding the evidence for managing metformin poisoning to support decision-making7
Supratherapeutic digoxin concentrations after second trimester termination of pregnancy7
Tralopyril poisoning due to respiratory exposure7
An outbreak of Galerina sulciceps -like (Galerina cf. sulciceps) mushroom poisoning6
ToxNet: an artificial intelligence designed for decision support for toxin prediction6
Delayed cardiac arrest after hydrofluoric acid ingestion6
Massive warfarin overdose management in an adolescent patient6
Ivabradine exposures reported to United States poison centers 2015–20236
Impact of marijuana legalization on cannabis-related visits to the emergency department6
Quantity of phenibut in dietary supplements before and after FDA warnings6
Identifying and quantifying exposures involving counterfeit opioid analgesic products6
Cannabis positivity rates in 17 emergency departments across the United States with varying degrees of marijuana legalization6
Synthetic cannabinoid poisonings and access to the legal cannabis market: findings from US national poison centre data 2016–20196
Amanita exitialis poisoning in five patients6
Intravenous phytonadione administered orally in reducing warfarin-related coagulopathy6
Barriers to the performance of timely hemodialysis when recommended by one United States poison center: a retrospective review6
Factors associated with prolonged intensive care stay among self-poisoned patients6
Adrenal insufficiency associated with long-term use of electronic cigarettes reportedly containing etomidate in two patients6
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 reactions6
Comment on “Severe morel mushroom poisonings in France” by Vodovar et al.6
Hyperammonemia in acetaminophen toxicity6
Metronidazole-induced encephalopathy in a patient with spondylodiscitis6
Accuracy and replicability of identifying eyelid tremor as an indicator of recent cannabis smoking6
2022 Annual Report of the National Poison Data System ® (NPDS) from America’s Poison Centers ® : 40th Annual Report6
Paracetamol (acetaminophen) poisoning; consensus definitions of poisoning types and outcomes to be used in the clinical toxicology recommendations collaborative systematic review6
Trends of prescription psychotropic medication exposures in pediatric patients, 2009–20186
The vitamin B12 analog cobinamide ameliorates azide toxicity in cells, Drosophila melanogaster, and mice6
Comment on “Efficacy of lipid emulsion therapy in treating cardiotoxicity from diphenhydramine ingestion: a review and analysis of case reports”5
Physostigmine reversal of delirium from second generation antipsychotic exposure: a retrospective cohort study from a regional poison center5
Comment on “lipid emulsion therapy during management of the critically-ill poisoned patient: a prospective cohort study”5
Defining the roles of computed tomography and esophagogastroduodenoscopy in patients with caustic ingestions5
Accidental intravenous acetaminophen overdose in an infant without development of hepatotoxicity: a case report5
Reply to Comments on Fomepizole as an adjunct in acetylcysteine treated acetaminophen overdose patients: a case series5
Exposure to hand sanitisers and other cleaning products in Victoria, Australia during the COVID-19 pandemic5
Cerebrospinal fluid lactate gap in ethylene glycol poisoning5
Medication errors in inquiries to the Poison Information Center Erfurt — a systematic analysis5
Unintentional poisoning from decanted toxic household chemicals5
Clinical effects of occupational clonidine poisoning and efficacy of extracorporeal blood purification therapies5
Xylazine poisoning: a systematic review5
Management of button battery ingestion5
Towards policy impact – an exploration of Clinical Toxicology research cited in policy documents and patents5
Incidence of rebound salicylate toxicity following cessation of urine alkalinization5
Harm due to the use of pressure bandage immobilisation in patients bitten by snakes in Australia5
Ethyl chloride poisoning from inhalational misuse: clinical features and outcomes5
Clinical characteristics of hospitalized patients with paracetamol poisoning before and after restrictions of over-the-counter sale of paracetamol5
Radiopaque rodenticide5
Comparison of bedside clotting tests for detecting venom-induced consumption coagulopathy following Sri Lankan viper envenoming5
Short message service as a tool for mass follow-up of patients requesting a poison centre: a retrospective comparative study in France5
Emerging synthetic cannabinoids detected by a drug checking service in Toronto, Canada5
22nd Scientific Congress of The Asia Pacific Association of Medical Toxicology (APAMT) 11-14 November 2024, Penang, Malaysia5
Hospital encounters for pediatric ingestions before and during the COVID-19 pandemic5
A recent increasing occurrence of etomidate and propoxate/isopropoxate misuse5
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 London4
Predicting serotonin toxicity in serotonin reuptake inhibitor overdose4
Challenges with glucagon-like peptide-1 (GLP-1) agonist initiation: a case series of semaglutide overdose administration errors4
Does snake envenoming cause chronic kidney disease? A cohort study in rural Sri Lanka4
Analysis of clinical challenges and prognostic risk factors for 195 cases of iatrogenic botulism in China4
Severe outcomes following pediatric cannabis intoxication: a prospective cohort study of an international toxicology surveillance registry4
Delta-8 tetrahydrocannabinol, delta-10 tetrahydrocannabinol, and tetrahydrocannabinol-O acetate exposures reported to America’s Poison Centers4
Severe metabolic derangements in an adolescent with cannabinoid hyperemesis syndrome4
Correction4
Minding the osmol gap: a sentinel event and subsequent laboratory investigation4
Hexahydrocannabinol poisoning reported to French poison centres4
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 20204
Intentional pesticide poisoning and pesticide suicides in Nepal4
Chlorfenapyr poisoning: a systematic review4
National assessment of anti-epileptic drug exposures among pre-teens and adolescents, 2000–20204
Major component causing neurological toxicity in acute glufosinate ammonium poisoning: determination of glufosinate, 1-methoxy-2-propanol, and ammonia in serum and cerebrospinal fluid4
Response to Klein et al. 20234
Comparison of children receiving extracorporeal treatments for poisoning at United States centers with and without a pediatric nephrologist4
Snakebite-associated thrombotic microangiopathy: an Australian prospective cohort study [ASP30]4
Correction4
The influence of the model pesticides parathion and paraoxon on human cytochrome P450 and associated oxygenases in HepaRG cells4
Fatal lead encephalopathy following the ingestion of fishing weights (“sinkers”)4
Staying at home: the potential cost savings related to triage advice provided by the New Zealand National Poisons Centre4
Manganese concentration in patients with encephalopathy following ephedrone use: a narrative review and analysis of case reports4
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 time4
N-desethyl isotonitazene detected in polydrug users admitted to hospital in Birmingham, United Kingdom4
Increased prevalence of pentylone and dipentylone in combination with other drugs in New South Wales, Australia4
Prolonged coagulopathy following repeated diphacinone ingestion4
Safety of haem arginate in overdose: report of an uneventful fourfold accidental overdose4
Common pitfalls in the use of hypertonic sodium bicarbonate for cardiac toxic drug poisonings4
Poisoning in older adults: characterization of exposures reported to the Dutch Poisons Information Center4
Ingestion of heated tobacco sticks containing a micro-blade by children: the importance of performing a radiograph4
Fluvoxamine used to treat COVID-19 resulting in theophylline toxicity from CYP 1A2 drug–drug interaction4
Measurement of an intestinal biomarker during poisonings from select toxicants and toxins4
A cluster of acute thebaine poisonings from non-food grade poppy seeds in the Australian food supply4
Pathophysiological profile of awake and anesthetized pigs following systemic exposure to the highly lethal ricin toxin4
Effect of Agkistrodon halys antivenom in patients bit by green pit viper and the prognostic role of the disease – a retrospective cohort study4
High concordance between urine toxicology results and self-reported fentanyl use in Nevada and New Mexico4
Defining recent cannabis use analytically3
Tapentadol exposures and poisonings in Australia3
Unexpected refractory hypotension following intradermal minoxidil injection3
After the bite: evaluating a specialized clinic for follow-up care for snake envenomation3
Association of the OPRM1 variant rs1799971 (A118G) and clinical manifestations in tramadol poisoned patients: a cross-sectional study3
Control of venom-induced tissue injury in copperhead snakebite patients: a post hoc sub-group analysis of a clinical trial comparing F(ab’)2 to Fab antivenom3
Differences in clinical features associated with cannabis intoxication in presentations to European emergency departments according to patient age and sex3
Pregnancy outcome after early exposure to nivolumab, a PD-1 checkpoint inhibitor for relapsed Hodgkin’s lymphoma3
Lack of toxicity after simultaneous application of 17 lidocaine 4% patches3
Dexamethasone therapy prevents delayed neuropsychiatric sequelae after carbon monoxide poisoning: a prospective registry-based study3
Clinical presentation of type 1 and type 2 pyrethroid poisoning in humans3
Role of age-sex as underlying risk factors for death in acute pesticide self-poisoning: a prospective cohort study3
Public health risk due to contamination of Solanum nigrum in frozen green beans – collaboration effort between a poison centre, a hospital and health authorities3
Trends in opioid exposures among young children reported to United States poison centers from 2016 to 20233
41st International Congress of the European Association of Poisons Centres and Clinical Toxicologists (EAPCCT) 25-28 May 2021, Virtual Meeting3
Association between initial diquat plasma concentration, severity index and in-hospital mortality in patients with acute diquat poisoning: a retrospective cohort study3
Outcomes of pediatric ingestions of alcohol-based hand sanitizers during the COVID-19 pandemic3
Psilocybine services in Oregon: a call for awareness among clinical toxicologists3
Identification of a novel opioid, N-piperidinyl etonitazene (etonitazepipne), in patients with suspected opioid overdose3
North American Congress of Clinical Toxicology (NACCT) 20223
Relative safety and quality of various dietary supplement products U.S. Service Members ask about3
Methaemoglobinaemia and oesophageal burns after accidental ingestion of an alkyl nitrite3
The role of QRS complex prolongation in predicting severe toxicity in single-xenobiotic overdose3
The use of lipid emulsion therapy in severe hydroxychloroquine overdose – a narrative review of case reports3
The relationships of plasma profenofos and ethanol concentrations to clinical outcome in acute profenofos self-poisoning3
A food product as a potential serious cause of liver injury3
The clinical course and treatment of black mamba (Dendroaspis polylepis) envenomations: a narrative review3
Comment on: “validation of a nomogram used to predict lithium concentration in overdose”3
A fatal case of polyoxyethylated- p -nonylphenol surfactant (Wetter 600) ingestion3
The early impact of paraquat ban on suicide in Taiwan3
Assessment of high-dose acetylcysteine in acute high-risk paracetamol (acetaminophen) ingestion3
Olanzapine/samidorphan precipitated opioid withdrawal in a patient taking transdermal fentanyl3
Hypercalcemia and elevated lipase after cement accelerator ingestion3
Clinical and pathological characteristics of acute kidney injury caused by diquat poisoning3
Severe intentional sodium nitrite poisoning is also being seen in France3
Peri-mortem rigidity in a fatal case of severe salicylate poisoning3
New psychoactive substance cocktail in an intensive care intoxication case elucidated by molecular networking3
Plant identification applications do not reliably identify toxic and edible plants in the American Midwest3
Suspected stonefish envenomation in Queensland over eight years: a retrospective series3
Effect of pesticide ban on suicide trend – a 20-year study from a tertiary care center in Central Kerala from 2001 to 20203
Successful delivery following acute maternal diquat poisoning3
Viper envenomation in Central and Southeastern Europe: a multicentre study3
Pharmacobezoar: a rare cause of body packing misdiagnosis3
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 adults3
The Goiânia incident, the semiotics of danger, and the next 10,000 years3
Comparing development of liver injury using the two versus three bag acetylcysteine regimen despite early treatment in paracetamol overdose3
Authors’ reply to comment on: clinical experience with titrating doses of digoxin antibodies in acute digoxin poisoning3
Pre-hospital triage of children at risk of oesophageal button battery impaction: the button battery impaction score3
Failure of chelator-provoked urine testing results to predict heavy metal toxicity in a prospective cohort of patients referred for medical toxicology evaluation3
An outbreak of mushroom poisoning in Israel during the 2020 fall and winter season: an unexpected outcome of COVID-19 restrictions?3
Derivation and internal validation of a clinical prediction score to predict major effect or death in acute metamfetamine toxicity3
Evaluation of aqueous dimethyl trisulfide as an antidote to a highly lethal cyanide poisoning in a large swine model3
Comment on Beneki E, Dimitriadis K, Antonopoulos A, Aggeli K & Tsioufis K. Kounis syndrome due to remdesivir allergy3
Toxic epidermal necrolysis associated with the use of levetiracetam2
Seniors and single-use detergent sacs (SUDS): a review of the National Poison Data System from 2012 to 20202
Correction2
An examination of fatal child poisonings in the United States using the National Violent Death Reporting System (NVDRS), 2012–20172
Comment on Fomepizole as an adjunct in acetylcysteine treated acetaminophen overdose patients: a case series2
Diagnosis of cocaine-induced midline destructive lesions2
Bites by the noble false widow spider Steatoda nobilis can induce Latrodectus-like symptoms and vector-borne bacterial infections with implications for public health: a case series2
Lung injury caused by aspiration of organophosphorus insecticide and gastric contents in pigs2
Effectiveness of multiple-dose activated charcoal in lamotrigine poisoning: a case series2
Lipid emulsion for the treatment of acute organophosphate poisoning: an Open-Label randomized trial2
Cannabidiol exposures in the United States, National Poison Data System, July 2014–June 20212
Comment on “pediatric cannabis intoxication trends in the pre and post-legalization era”2
Increasing severity of medical outcomes and associated substances in cases reported to United States poison centers2
Refractory seizures due to severe quetiapine poisoning2
Occupational exposure to methyl acetate resulting in methanol poisoning2
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