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	214
Extrapyramidal effects in a young child with acute organophosphorus insecticide poisoning	199
Seizures associated with single substance exposures in pediatric patients: a 15-year retrospective study	109
Laboratory-guided repeat dosing of idarucizumab for dabigatran reversal	95
Effect of oral silymarin in patients with acute hepatotoxic mushroom poisoning: an analysis of poison center data	91
An attempted homicidal poisoning with bromadiolone	91
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	67
Cholinergic syndrome: a diagnostic challenge due to donepezil poisoning	63
Hemolysis associated with Russula subnigricans ingestion in a patient with glucose-6-phosphate dehydrogenase deficiency	42
Oral ethanol prescribing for alcohol withdrawal syndrome: initial findings and future directions following implementation within a United Kingdom National Health Service setting	39
Psychoactive mushroom edibles: trends and toxicities reported to the United States National Poison Data System®, 2023–2024	29
Carbon monoxide poisoning mortality in the United States from 2015–2021	28
Siamese Russell’s viper bite: epidemiology, clinical characteristics, and outcomes	28
VipGrade ® electronic clinical tool: retrospective evaluation on a paediatric cohort of European viper bites	28
External validation of the Tanta University Risk Model for predicting clinical outcomes in ICU patients with acute drug poisoning	26
The critical time period for administering antivenom: golden hours and missed opportunities	23
Venom induced pressure elevation reversible syndrome: a severe pediatric rattlesnake envenomation, evidence for conservative management, and call for naming the syndrome	23
Correlation between laboratory indicators and severity of viper snakebite and limb swelling: a retrospective study in southwestern China	22
Diphenhydramine overdose with neuromuscular excitation	21
Delayed peak methemoglobinemia after intentional sodium nitrate ingestion	21
From coma to recovery: removal of amanitin by percutaneous transhepatic bile drainage in severe Amanita subjunquillea mushroom poisoning	20
A large pediatric cohort of colchicine intoxication: prognostic factors and experience with rapid sequence apheresis	20
Veratrum parviflorum poisoning: identification of steroidal alkaloids in patient blood and breast milk	20
Abnormalities in brain magnetic resonance imaging associated with vigabatrin therapy in an infant with infantile epileptic spasms syndrome	20
Kounis syndrome associated with remdesivir therapy in a COVID-19 patient	20

Sotalol poisoning and its unique treatment considerations compared with traditional therapies for beta-adrenoceptor blocking drug poisoning	19
Severe systemic inflammatory response and acute kidney injury induced by Kambô intoxication	19
Risk of peri-intubation adverse events during emergency department intubation of overdose patients: a national emergency airway registry (near) analysis	19
Investigation of Amanita molliuscula poisoning outbreaks in Heilongjiang province, China	17
Clinical features of seven patients poisoned with a tolfenpyrad-based insecticide in Thailand	17
Overview of pesticide exposures reported to the Moroccan Poison Control and Pharmacovigilance Center between 1980 and 2021	16
Severe food-induced methaemoglobinaemia	16
Clinical analysis of 21 cases of chlorfenapyr poisoning	15
Dynamic myocardial injury and variable hallucination latency in Psilocybe keralensis poisoning: a molecularly confirmed case series from China	15
Out-of-hospital assessment and triage of paracetamol (acetaminophen) exposure in the United States and Canada: a consensus guideline	15
Clinical toxicology of acute glyphosate self-poisoning: impact of plasma concentrations of glyphosate, its metabolite and polyethoxylated tallow amine surfactants on the toxicity	15
Amlodipine fatality trends	15
Relative odds of seizure in emergency department cases of analytically confirmed illicit substance exposure	15
Assessing the impact of a new medical toxicology service on the treatment of paracetamol overdose at a large tertiary care hospital	15
Risk factors for deliberate self-poisoning among children and adolescents in The Netherlands	15
Frequency of massive diphenhydramine ingestions in children 6-18 years of age	14
Population pharmacokinetic analysis of acetaminophen overdose with immediate release, extended release and modified release formulations	14
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
Giant T waves and QT interval prolongation associated with guanfacine toxicity	12
Dose-related hypoglycemia in venlafaxine poisoning: a retrospective cohort study	12
Optic nerve sheath diameter measurements to predict delayed neurological sequelae after carbon monoxide poisoning	12
Factors associated with seizure in tramadol overdose: a 12-year retrospective study in Hong Kong	12
Laboratory features in acute paediatric poisoning with liquid laundry detergent capsules: a seven-year retrospective study in Romania	12
E-cigarette or vaping-associated lung injury (EVALI): a review of international case reports from outside the United States of America	12
Lack of cholinergic features in healthcare workers caring for a patient with organophosphate poisoning	12
Repeated poisonings in Denmark – a nationwide study	12
An unexpected computed tomography finding in a suspected body packer	12
Adverse events in the U.S. following ocular exposure to alcohol-based hand sanitizers	12
Comment on Brugada syndrome following acute bupropion overdose in a pediatric patient	11
Gastric perforation after polyurethane foam ingestion	11
Correction	11
Three cases of wood-lover paralysis: clinical insights from Victoria, Australia	11
A “madd”-ening confounding: fruit seeds mimicking enteral drug concealment by computed tomography	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
Drugs detected in suspected pediatric exposures: a 5-year review	11
Clinical features of snake envenomation in South Korea	11
Identification and clinical management of etomidate-like substance withdrawal	11
Pneumatosis intestinalis and portal venous gas mimicking intestinal necrosis in organophosphate poisoning	10
Plasma concentrations of phenibut and mitragynine in a single patient	10
Trends in intentional abuse and misuse ingestions in school-aged children and adolescents reported to US poison centers from 2000-2020	10
The effect of acetylcysteine on the prothrombin time and international normalized ratio: a narrative review	10
Outcomes of benzonatate exposures reported to a single United States poison center: a 20-year review	10
Correction	10
Anaphylactoid reactions to acetylcysteine treatment in wild mushroom poisoning patients in Yunnan, China	10
North American Congress of Clinical Toxicology (NACCT) 2025	10
An MDMA cluster and the utility of illicit drug blood sampling	10
Ingestion of tartar emetic (antimony potassium tartrate)	10
Unraveling tenfold administration errors of oral risperidone solution in children	10

Ambulance referrals to an Australian Poisons Information Centre: a retrospective series	9
Ferric chloride ingestion with corrosive gastritis	9
Comparison of two-bag and three-bag acetylcysteine regimens in the treatment of paracetamol poisoning: a systematic review and meta-analysis	9
Sodium bicarbonate treatment for QRS widening in bupropion overdoses	9
Detection of ethanol, cannabinoids, benzodiazepines, and opioids in older adults evaluated for serious injuries from falls	9
Radiological changes in lead poisoning	9
Adherence of caregivers of children to advice provided by a National Poison Information Center	9
Aspiration-induced lung injury in acute drug and ethanol poisoning: incidence, risk factors, and clinical predictors	9
A clinical study and laboratory evaluation of the cardiac and hepatic toxic effects of paraphenylenediamine	9
Gender differences in psychoactive substances causing emergency department admissions in children and adolescents	9
Association of prescription drug monitoring programs with benzodiazepine prescription dispensation and overdose in adolescents and young adults	9
Correction	8
The minor cannabinoid cannabigerol (CBG) is a highly specific blood biomarker of recent cannabis smoking	8
Unintentional poisoning in older Australians: a retrospective audit of New South Wales Poisons Information Centre data	8
Synthetic cannabinoid poisonings and access to the legal cannabis market: findings from US national poison centre data 2016–2019	8
Subclinical adrenal suppression and urine immunoassay detection of etomidate in an electronic cigarette user	8
The vitamin B12 analog cobinamide ameliorates azide toxicity in cells, Drosophila melanogaster, and mice	8
Expanding the evidence for managing metformin poisoning to support decision-making	8
Tralopyril poisoning due to respiratory exposure	8
Cannabis positivity rates in 17 emergency departments across the United States with varying degrees of marijuana legalization	8
Corrections	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
Toxicity profile of supratherapeutic loperamide: a systematic review and dose–response analysis	7
Comment on “Severe morel mushroom poisonings in France” by Vodovar et al.	7
Barriers to the performance of timely hemodialysis when recommended by one United States poison center: a retrospective review	7
Evaluation of oral fluid microsampling as a urine surrogate matrix in substance use disorder care: clinical applicability and analytical performance	7
An outbreak of Galerina sulciceps -like (Galerina cf. sulciceps) mushroom poisoning	7
Acquired methemoglobinemia from intentional exposure to uncommon agrochemicals: a case series	7
Metronidazole-induced encephalopathy in a patient with spondylodiscitis	7
Amanita exitialis poisoning in five patients	7
Chemical epiglottitis causing airway compromise after benzalkonium chloride ingestion	7
Accuracy and replicability of identifying eyelid tremor as an indicator of recent cannabis smoking	7
Can the intensive care requirement score improve triage at the emergency department for acutely intoxicated patients?	7
Ivabradine exposures reported to United States poison centers 2015–2023	7
Massive warfarin overdose management in an adolescent patient	7
Laryngeal edema after ingestion of an ornamental plant ( Alocasia odora ): serial clinical images in an elderly patient	7
Identifying and quantifying exposures involving counterfeit opioid analgesic products	7
Delayed cardiac arrest after hydrofluoric acid ingestion	7
Transdermal buprenorphine patch-facilitated induction of sublingual buprenorphine in hospitalized patients receiving full agonist opioids: a retrospective cohort study	7
Management of button battery ingestion	7
ToxNet: an artificial intelligence designed for decision support for toxin prediction	6
Comparison of bedside clotting tests for detecting venom-induced consumption coagulopathy following Sri Lankan viper envenoming	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
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
Paracetamol (acetaminophen) poisoning; consensus definitions of poisoning types and outcomes to be used in the clinical toxicology recommendations collaborative systematic review	6
Identification of prognostic factors and development of a prognostic model in patients with acute diquat (200 g/L) poisoning	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
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
Acute tetraparesis following inhalational exposure to acetamiprid	6
Adrenal insufficiency associated with long-term use of electronic cigarettes reportedly containing etomidate in two patients	6
2022 Annual Report of the National Poison Data System ® (NPDS) from America’s Poison Centers ® : 40th Annual Report	6
Ethyl chloride poisoning from inhalational misuse: clinical features and outcomes	6
Midodrine exposure trends and outcomes reported to United States poison centers: 2000–2023	6
Comment on “lipid emulsion therapy during management of the critically-ill poisoned patient: a prospective cohort study”	5
Poisoning in older adults: characterization of exposures reported to the Dutch Poisons Information Center	5
Methotrexate-induced epidermal necrosis	5
Telehealth and the opioid crisis during COVID-19: urban-rural disparities in emergency care and poison center teleconsultations	5
Neuromuscular and cytotoxic effects of common cobra ( Naja naja ) bites in rural Sri Lanka	5
A recent increasing occurrence of etomidate and propoxate/isopropoxate misuse	5
Incidence of rebound salicylate toxicity following cessation of urine alkalinization	5
Once, twice, three times a bite victim: recidivism in snake envenomation	5
Physostigmine reversal of delirium from second generation antipsychotic exposure: a retrospective cohort study from a regional poison center	5
The persistent fear of compartment syndrome in snakebite envenomation: implications for fasciotomy decision-making	5
A 10-year retrospective study of patients with acquired methemoglobinemia: causative agents, clinical characteristics, and outcomes	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
Unintentional poisoning from decanted toxic household chemicals	5
Radiopaque rodenticide	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
Challenges with glucagon-like peptide-1 (GLP-1) agonist initiation: a case series of semaglutide overdose administration errors	5
Delta-8 tetrahydrocannabinol, delta-10 tetrahydrocannabinol, and tetrahydrocannabinol-O acetate exposures reported to America’s Poison Centers	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
Comparison of children receiving extracorporeal treatments for poisoning at United States centers with and without a pediatric nephrologist	5
Defining the roles of computed tomography and esophagogastroduodenoscopy in patients with caustic ingestions	5
Outcomes of extra-dose exposures of Vaughan Williams Class I or III antidysrhythmic medications	5

The use of lipid emulsion therapy in severe hydroxychloroquine overdose – a narrative review of case reports	4
Predicting serotonin toxicity in serotonin reuptake inhibitor overdose	4
Nitazenes: review of comparative pharmacology and antagonist action	4
Edible cannabinoid exposure in pediatric patients: comparing hospital and poison center data	4
Comparative evaluation of ammonium chloride-modified and hospital-grade activated charcoal for paracetamol adsorption under simulated gastric (pepsin) and intestinal (pancreatin) fluid	4
Recommendations from the Clinical Toxicology Recommendations Collaborative on the administration of activated charcoal in acute oral overdose	4
Hexahydrocannabinol poisoning reported to French poison centres	4
Molecular identification of Amanita ibotengutake from patient vomit specimens in mushroom poisoning	4
The influence of the model pesticides parathion and paraoxon on human cytochrome P450 and associated oxygenases in HepaRG cells	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
Pyridoxine/pyridoxal-5′-phosphate repletion to improve outcomes of alcohol withdrawal syndrome and promote long-term abstinence: a hypothesis	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
Clinical characteristics, treatment, and outcomes of local anesthetic systemic toxicity: a 10-year retrospective study	4
Harm due to the use of pressure bandage immobilisation in patients bitten by snakes in Australia	4
Acute bronchorrhoea and respiratory distress as the initial presentation of organophosphorus insecticide poisoning in a young child	4
Leveraging augmented reality for remote medical toxicology training using an observed clinical case-based simulation: a novel educational approach	4
Lamotrigine-induced Stevens–Johnson syndrome: a systematic review of case reports and case series	4
Demographics and clinical characteristics of organ donors after fatal poisoning in Poland from 2020 to 2024	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
Chlorfenapyr poisoning: a systematic review	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
Does snake envenoming cause chronic kidney disease? A cohort study in rural Sri Lanka	4
Viper envenomation in Central and Southeastern Europe: a multicentre study	4
Common pitfalls in the use of hypertonic sodium bicarbonate for cardiac toxic drug poisonings	4
Response to Klein et al. 2023	4
Increased prevalence of pentylone and dipentylone in combination with other drugs in New South Wales, Australia	4
Severe metabolic derangements in an adolescent with cannabinoid hyperemesis syndrome	4
Local envenoming following a bite by Montivipera xanthina	4
The relationships of plasma profenofos and ethanol concentrations to clinical outcome in acute profenofos self-poisoning	4
Comment on: assessing unnecessary emergency department visits for poison exposures in pediatric patients less than six years old	4
Severe outcomes following pediatric cannabis intoxication: a prospective cohort study of an international toxicology surveillance registry	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
Defining recent cannabis use analytically	4
Levamisole associated with linear IgA dermatosis	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
Rapid bedside assessment of serum caffeine concentrations using an immunochromatographic screening kit: evaluation of analytical and diagnostic performance in acute caffeine poisoning	4
Cyanide toxicity from high-dose nitroprusside infusion in a critically ill patient on veno-arterial extracorporeal membrane oxygenation	4
Ingestion of heated tobacco sticks containing a micro-blade by children: the importance of performing a radiograph	4
Exogenous [Pyr 1 ]apelin-13 prevents bupivacaine-induced cardiotoxicity via the apelin (APJ) receptor	4
Fatal aminopyrine and caffeine poisoning	4
Measurement of an intestinal biomarker during poisonings from select toxicants and toxins	4
Minding the osmol gap: a sentinel event and subsequent laboratory investigation	4
Body packers and body stuffers: cocaine intoxications reported to French poison centers (January 1, 2020—December 31, 2024)	4
High concordance between urine toxicology results and self-reported fentanyl use in Nevada and New Mexico	4
N-desethyl isotonitazene detected in polydrug users admitted to hospital in Birmingham, United Kingdom	4
A cluster of acute thebaine poisonings from non-food grade poppy seeds in the Australian food supply	4
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
Dexamethasone therapy prevents delayed neuropsychiatric sequelae after carbon monoxide poisoning: a prospective registry-based study	3
Association between initial diquat plasma concentration, severity index and in-hospital mortality in patients with acute diquat poisoning: a retrospective cohort study	3
Use of large language models to optimize poison center charting	3
Successful delivery following acute maternal diquat poisoning	3
Dose ingested, vomiting, and outcome in patients ingesting a standard paraquat 20SL formulation	3
QT interval prolongation in acute antipsychotic poisoning: systematic review and recommendations	3
The risk of secondary exposure in the operating room from a sulfur mustard-contaminated penetrating wound using a simulation scenario	3
Treatment of poisoned patients should never be “aggressive”	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
A fatal case of polyoxyethylated- p -nonylphenol surfactant (Wetter 600) ingestion	3
Unlabeled kratom alkaloids detected in products marketed as kava	3
Implications of unexpectedly detectable methanol in patients presenting to an urban emergency department	3
Comment on: “We need a standardized North American acetylcysteine dosing regimen for the treatment of paracetamol (acetaminophen) poisoning” and the response of Mullins and colleagues	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
Clinical Toxicology expert reviewers 2025	3
Pre-hospital triage of children at risk of oesophageal button battery impaction: the button battery impaction score	3
Link between paediatric suicidal poisonings and school calendar: a national French Poison Centres study	3
Low risk of adverse events associated with flumazenil administration: a retrospective poison center analysis of acutely poisoned patients	3
Psilocybine services in Oregon: a call for awareness among clinical toxicologists	3
Suspected stonefish envenomation in Queensland over eight years: a retrospective series	3
Portal venous gas after ingestion of concentrated hydrogen peroxide	3
Clinical and pathological characteristics of acute kidney injury caused by diquat poisoning	3
Peri-mortem rigidity in a fatal case of severe salicylate poisoning	3
Synthetic cathinones in Belgium: a cluster of poly-drug intoxications involving α-pyrrolidinoisohexiophenone (α-PiHP)	3
AusVapeSafety: a prospective observational study of vape exposures and outcomes to an Australian Poisons Information Centre	3
Comment on Beneki E, Dimitriadis K, Antonopoulos A, Aggeli K & Tsioufis K. Kounis syndrome due to remdesivir allergy	3
Assessment of high-dose acetylcysteine in acute high-risk paracetamol (acetaminophen) ingestion	3
Serum cannabinoid profiles of emergency department patients presenting with cannabinoid hyperemesis syndrome and acute cannabis intoxication	3
Severe neurotoxicity from accidental tetrabenazine ingestion in a child, with laboratory confirmation	3
Correction	3
Methaemoglobinaemia and oesophageal burns after accidental ingestion of an alkyl nitrite	3
Association of the OPRM1 variant rs1799971 (A118G) and clinical manifestations in tramadol poisoned patients: a cross-sectional study	3
Suspected serotonin toxicity following combined nefopam and tramadol use in an older adult	3
A food product as a potential serious cause of liver injury	3
Trends in opioid exposures among young children reported to United States poison centers from 2016 to 2023	3
The Goiânia incident, the semiotics of danger, and the next 10,000 years	3
Insulin concentrations following termination of high-dose insulin euglycemic therapy	3
Detection of bromazolam alongside other misused substances	3
Fluorocarbon-associated chemical pneumonitis mimicking severe infectious pneumonia in an adolescent	3
Phosphine poisoning: a case series including one fatality following fumigation with aluminium phosphide	3
Derivation and internal validation of a clinical prediction score to predict major effect or death in acute metamfetamine toxicity	3
Outcomes of pediatric ingestions of alcohol-based hand sanitizers during the COVID-19 pandemic	3
Acute unintentional single-substance pediatric exposures to direct factor Xa inhibitors reported to US Poison Centers, 2011–2019	3
Hyperbaric oxygen therapy for diquat-induced toxic brain injury in the subacute or chronic phase	3
After the bite: evaluating a specialized clinic for follow-up care for snake envenomation	3
Study of micro-signals: proposed analysis methodology based on data from the Lille Poison Control and Toxicovigilance Center	3
North American Congress of Clinical Toxicology (NACCT) 2022	3