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	269
Extrapyramidal effects in a young child with acute organophosphorus insecticide poisoning	159
Oral ethanol prescribing for alcohol withdrawal syndrome: initial findings and future directions following implementation within a United Kingdom National Health Service setting	148
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	94
In vitro analysis of n-acetylcysteine (NAC) interference with the international normalized ratio (INR)	88
Hemolysis associated with Russula subnigricans ingestion in a patient with glucose-6-phosphate dehydrogenase deficiency	61
The critical time period for administering antivenom: golden hours and missed opportunities	61
First step in assessment of VipGrade®, a computerized clinical decision system to assess Vipera envenomation grading: a single-center interrater reliability study	54
Fomepizole dosing during continuous renal replacement therapy – an observational study	46
Comment on Fomepizole as an adjunct in acetylcysteine treated acetaminophen overdose patients: a case series	45
Laboratory-guided repeat dosing of idarucizumab for dabigatran reversal	37
VipGrade ® electronic clinical tool: retrospective evaluation on a paediatric cohort of European viper bites	35
Seizures associated with single substance exposures in pediatric patients: a 15-year retrospective study	34
Involuntary MDMB-4en-PINACA intoxications following cannabis consumption: clinical and analytical findings	33
An attempted homicidal poisoning with bromadiolone	31
Carbon monoxide poisoning mortality in the United States from 2015–2021	27
Thiocyanate toxicity: a teaching case	26
Bites by exotic snakes reported to the UK National Poisons Information Service 2009–2020	26
Response to the comment on “pediatric cannabis intoxication trends in the pre and post-legalization era”	25
Clinical features of seven patients poisoned with a tolfenpyrad-based insecticide in Thailand	21
Diphenhydramine overdose with neuromuscular excitation	21
Out-of-hospital assessment and triage of paracetamol (acetaminophen) exposure in the United States and Canada: a consensus guideline	21
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	19
Kounis syndrome associated with remdesivir therapy in a COVID-19 patient	19

In memoriam: Steven Alan Seifert (1950–2022)	18
Abnormalities in brain magnetic resonance imaging associated with vigabatrin therapy in an infant with infantile epileptic spasms syndrome	18
Veratrum parviflorum poisoning: identification of steroidal alkaloids in patient blood and breast milk	17
Severe systemic inflammatory response and acute kidney injury induced by Kambô intoxication	17
Severe food-induced methaemoglobinaemia	15
Risk factors for deliberate self-poisoning among children and adolescents in The Netherlands	15
Risk of peri-intubation adverse events during emergency department intubation of overdose patients: a national emergency airway registry (near) analysis	15
Treating ethylene glycol poisoning with alcohol dehydrogenase inhibition, but without extracorporeal treatments: a systematic review	15
Assessing the impact of a new medical toxicology service on the treatment of paracetamol overdose at a large tertiary care hospital	15
Sotalol poisoning and its unique treatment considerations compared with traditional therapies for beta-adrenoceptor blocking drug poisoning	15
Population pharmacokinetic analysis of acetaminophen overdose with immediate release, extended release and modified release formulations	15
Clinical toxicology of acute glyphosate self-poisoning: impact of plasma concentrations of glyphosate, its metabolite and polyethoxylated tallow amine surfactants on the toxicity	14
Amlodipine fatality trends	14
Vasodilation in patients with calcium channel blocker poisoning treated with high-dose insulin: a comparison of amlodipine versus non-dihydropyridines	14
Repeated poisonings in Denmark – a nationwide study	13
Factors associated with seizure in tramadol overdose: a 12-year retrospective study in Hong Kong	13
An unexpected computed tomography finding in a suspected body packer	12
Ototoxicity following direct inner ear exposure to metallic mercury	12
Pesticide use, agricultural outputs, and pesticide poisoning deaths in Japan	11
Efficacy of lipid emulsion therapy in treating cardiotoxicity from diphenhydramine ingestion: a review and analysis of case reports	11
Dose-related hypoglycemia in venlafaxine poisoning: a retrospective cohort study	11
Gastric perforation after polyurethane foam ingestion	11
Optic nerve sheath diameter measurements to predict delayed neurological sequelae after carbon monoxide poisoning	11
Clinical features of snake envenomation in South Korea	11
Laboratory features in acute paediatric poisoning with liquid laundry detergent capsules: a seven-year retrospective study in Romania	11
Identification and clinical management of etomidate-like substance withdrawal	11
Giant T waves and QT interval prolongation associated with guanfacine toxicity	11
Lack of cholinergic features in healthcare workers caring for a patient with organophosphate poisoning	11
The serum glycolate concentration: its prognostic value and its correlation to surrogate markers in ethylene glycol exposures	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
Unraveling tenfold administration errors of oral risperidone solution in children	10
Association of prescription drug monitoring programs with benzodiazepine prescription dispensation and overdose in adolescents and young adults	10
E-cigarette or vaping-associated lung injury (EVALI): a review of international case reports from outside the United States of America	10
Outcomes of benzonatate exposures reported to a single United States poison center: a 20-year review	10
Correction	10
Lidocaine overdose: tumescent liposuction jeopardy	10
Anaphylactoid reactions to acetylcysteine treatment in wild mushroom poisoning patients in Yunnan, China	10
Ingestion of tartar emetic (antimony potassium tartrate)	9
Radiological changes in lead poisoning	9
Correction	8
An MDMA cluster and the utility of illicit drug blood sampling	8
Ferric chloride ingestion with corrosive gastritis	8
Detection of ethanol, cannabinoids, benzodiazepines, and opioids in older adults evaluated for serious injuries from falls	8
Comparison of two-bag and three-bag acetylcysteine regimens in the treatment of paracetamol poisoning: a systematic review and meta-analysis	8
Sodium bicarbonate treatment for QRS widening in bupropion overdoses	8
Adherence of caregivers of children to advice provided by a National Poison Information Center	8
A clinical study and laboratory evaluation of the cardiac and hepatic toxic effects of paraphenylenediamine	8
A severe case of Levamisole-induced vasculitis	8
Gliclazide disposition in overdose – a case report with pharmacokinetic modeling	8

Ambulance referrals to an Australian Poisons Information Centre: a retrospective series	8
Hemodialysis enhances elimination of ethosuximide in massive overdose	8
Plasma concentrations of phenibut and mitragynine in a single patient	8
The effect of acetylcysteine on the prothrombin time and international normalized ratio: a narrative review	8
Trends in intentional abuse and misuse ingestions in school-aged children and adolescents reported to US poison centers from 2000-2020	8
Subclinical adrenal suppression and urine immunoassay detection of etomidate in an electronic cigarette user	7
Amanita exitialis poisoning in five patients	7
Correction	7
Massive warfarin overdose management in an adolescent patient	7
Correction	7
The minor cannabinoid cannabigerol (CBG) is a highly specific blood biomarker of recent cannabis smoking	7
COVID-19 lockdowns and incidence of psychoactive substance exposure according to age and sex	7
Valacyclovir neurotoxicity and kinetics in a patient with impaired kidney function	7
Authors’ reply to comment on “Efficacy of lipid emulsion therapy in treating cardiotoxicity from diphenhydramine ingestion”	7
Unintentional poisoning in older Australians: a retrospective audit of New South Wales Poisons Information Centre data	7
Accuracy and replicability of identifying eyelid tremor as an indicator of recent cannabis smoking	7
Cannabis positivity rates in 17 emergency departments across the United States with varying degrees of marijuana legalization	7
An outbreak of Galerina sulciceps -like (Galerina cf. sulciceps) mushroom poisoning	7
Tralopyril poisoning due to respiratory exposure	7
Comment on “Severe morel mushroom poisonings in France” by Vodovar et al.	7
Synthetic cannabinoid poisonings and access to the legal cannabis market: findings from US national poison centre data 2016–2019	7
Quantity of phenibut in dietary supplements before and after FDA warnings	7
Predictors of FabAV use in copperhead envenomation	7
Expanding the evidence for managing metformin poisoning to support decision-making	7
Identifying and quantifying exposures involving counterfeit opioid analgesic products	7
Corrections	7
Delayed cardiac arrest after hydrofluoric acid ingestion	7
Supratherapeutic digoxin concentrations after second trimester termination of pregnancy	7
The vitamin B12 analog cobinamide ameliorates azide toxicity in cells, Drosophila melanogaster, and mice	7
Comparison of bedside clotting tests for detecting venom-induced consumption coagulopathy following Sri Lankan viper envenoming	6
Adrenal insufficiency associated with long-term use of electronic cigarettes reportedly containing etomidate in two patients	6
ToxNet: an artificial intelligence designed for decision support for toxin prediction	6
Management of button battery ingestion	6
Factors associated with prolonged intensive care stay among self-poisoned patients	6
Impact of marijuana legalization on cannabis-related visits to the emergency department	6
Paracetamol (acetaminophen) poisoning; consensus definitions of poisoning types and outcomes to be used in the clinical toxicology recommendations collaborative systematic review	6
Xylazine poisoning: a systematic review	6
Metronidazole-induced encephalopathy in a patient with spondylodiscitis	6
Ivabradine exposures reported to United States poison centers 2015–2023	6
Poisoning and envenomation linkage to evaluate outcomes and clinical variation in Australia (PAVLOVA): a longitudinal data-linkage cohort of acute poisonings, envenomations, and adverse drug reactions	6
Laryngeal edema after ingestion of an ornamental plant ( Alocasia odora ): serial clinical images in an elderly patient	6
2022 Annual Report of the National Poison Data System ® (NPDS) from America’s Poison Centers ® : 40th Annual Report	6
Intravenous phytonadione administered orally in reducing warfarin-related coagulopathy	6
Barriers to the performance of timely hemodialysis when recommended by one United States poison center: a retrospective review	6
Comment on “Efficacy of lipid emulsion therapy in treating cardiotoxicity from diphenhydramine ingestion: a review and analysis of case reports”	5
Clinical characteristics of hospitalized patients with paracetamol poisoning before and after restrictions of over-the-counter sale of paracetamol	5
Medication errors in inquiries to the Poison Information Center Erfurt — a systematic analysis	5
High concordance between urine toxicology results and self-reported fentanyl use in Nevada and New Mexico	5
Physostigmine reversal of delirium from second generation antipsychotic exposure: a retrospective cohort study from a regional poison center	5
Methotrexate-induced epidermal necrosis	5
Challenges with glucagon-like peptide-1 (GLP-1) agonist initiation: a case series of semaglutide overdose administration errors	5
Defining the roles of computed tomography and esophagogastroduodenoscopy in patients with caustic ingestions	5
Radiopaque rodenticide	5
Accidental intravenous acetaminophen overdose in an infant without development of hepatotoxicity: a case report	5
Incidence of rebound salicylate toxicity following cessation of urine alkalinization	5
Harm due to the use of pressure bandage immobilisation in patients bitten by snakes in Australia	5
Clinical effects of occupational clonidine poisoning and efficacy of extracorporeal blood purification therapies	5
Ethyl chloride poisoning from inhalational misuse: clinical features and outcomes	5
Delta-8 tetrahydrocannabinol, delta-10 tetrahydrocannabinol, and tetrahydrocannabinol-O acetate exposures reported to America’s Poison Centers	5
Correction	5
Emerging synthetic cannabinoids detected by a drug checking service in Toronto, Canada	5
Hair straightening and acute kidney injury: a case series from a medical toxicology service	5
Towards policy impact – an exploration of Clinical Toxicology research cited in policy documents and patents	5
Short message service as a tool for mass follow-up of patients requesting a poison centre: a retrospective comparative study in France	5
Poisoning in older adults: characterization of exposures reported to the Dutch Poisons Information Center	5
Reply to Comments on Fomepizole as an adjunct in acetylcysteine treated acetaminophen overdose patients: a case series	5
Unintentional poisoning from decanted toxic household chemicals	5
22nd Scientific Congress of The Asia Pacific Association of Medical Toxicology (APAMT) 11-14 November 2024, Penang, Malaysia	5
Midodrine exposure trends and outcomes reported to United States poison centers: 2000–2023	5
Cerebrospinal fluid lactate gap in ethylene glycol poisoning	5
Analysis of clinical challenges and prognostic risk factors for 195 cases of iatrogenic botulism in China	5
Prolonged coagulopathy following repeated diphacinone ingestion	5
Seven patients with analytically confirmed MDMB-4en-PINACA toxicity associated with the use of electronic vaping devices	5
A recent increasing occurrence of etomidate and propoxate/isopropoxate misuse	5
Comparison of children receiving extracorporeal treatments for poisoning at United States centers with and without a pediatric nephrologist	5
Once, twice, three times a bite victim: recidivism in snake envenomation	5
Exposure to hand sanitisers and other cleaning products in Victoria, Australia during the COVID-19 pandemic	5
Comment on “lipid emulsion therapy during management of the critically-ill poisoned patient: a prospective cohort study”	5
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”	5
Exogenous [Pyr 1 ]apelin-13 prevents bupivacaine-induced cardiotoxicity via the apelin (APJ) receptor	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
The relationships of plasma profenofos and ethanol concentrations to clinical outcome in acute profenofos self-poisoning	4
Predicting serotonin toxicity in serotonin reuptake inhibitor overdose	4
A cluster of acute thebaine poisonings from non-food grade poppy seeds in the Australian food supply	4
Fluvoxamine used to treat COVID-19 resulting in theophylline toxicity from CYP 1A2 drug–drug interaction	4
Unexpected refractory hypotension following intradermal minoxidil injection	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 Fox et al. “Out-of-hospital assessment and triage of paracetamol (acetaminophen) exposure in the United States and Canada: a consensus guideline”	4
Increased prevalence of pentylone and dipentylone in combination with other drugs in New South Wales, Australia	4
Performance of computed tomography and its reliability for the diagnosis of transmural gastrointestional necrosis in a setting of acute ingestion of predominantly strong acid substances in adults	4
Response to Klein et al. 2023	4
Fatal lead encephalopathy following the ingestion of fishing weights (“sinkers”)	4
N-desethyl isotonitazene detected in polydrug users admitted to hospital in Birmingham, United Kingdom	4
Local envenoming following a bite by Montivipera xanthina	4
Common pitfalls in the use of hypertonic sodium bicarbonate for cardiac toxic drug poisonings	4
Comparing development of liver injury using the two versus three bag acetylcysteine regimen despite early treatment in paracetamol overdose	4
National assessment of anti-epileptic drug exposures among pre-teens and adolescents, 2000–2020	4
Nitazenes: review of comparative pharmacology and antagonist action	4
Chlorfenapyr poisoning: a systematic review	4
Hexahydrocannabinol poisoning reported to French poison centres	4
Viper envenomation in Central and Southeastern Europe: a multicentre 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
Severe outcomes following pediatric cannabis intoxication: a prospective cohort study of an international toxicology surveillance registry	4
Does snake envenoming cause chronic kidney disease? A cohort study in rural Sri Lanka	4
Severe metabolic derangements in an adolescent with cannabinoid hyperemesis syndrome	4
Ingestion of heated tobacco sticks containing a micro-blade by children: the importance of performing a radiograph	4
Manganese concentration in patients with encephalopathy following ephedrone use: a narrative review and analysis of case reports	4
Measurement of an intestinal biomarker during poisonings from select toxicants and toxins	4
Pregnancy outcome after early exposure to nivolumab, a PD-1 checkpoint inhibitor for relapsed Hodgkin’s lymphoma	4
Safety of haem arginate in overdose: report of an uneventful fourfold accidental overdose	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
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	4
Differences in clinical features associated with cannabis intoxication in presentations to European emergency departments according to patient age and sex	4
Comment on Beneki E, Dimitriadis K, Antonopoulos A, Aggeli K & Tsioufis K. Kounis syndrome due to remdesivir allergy	3
Derivation and internal validation of a clinical prediction score to predict major effect or death in acute metamfetamine toxicity	3
Ethanol for the management of alcohol withdrawal syndrome: a systematic review	3
Pharmacobezoar: a rare cause of body packing misdiagnosis	3
Clinical Toxicology Expert Reviewers 2023	3
Response to Özdemir Ö on “Kounis syndrome due to remdesivir allergy”	3
Hypercalcemia and elevated lipase after cement accelerator ingestion	3
Psilocybine services in Oregon: a call for awareness among clinical toxicologists	3
Clinical effects, outcomes, and disposition of unintentional pediatric mushroom exposures reported to United States poison centers from 2009 through 2023	3
Efficacy of unithiol (2,3-dimercaptopropanesulfonate) and acetylcysteine in a patient with arthroplastic cobalt toxicity	3
A food product as a potential serious cause of liver injury	3
Authors’ reply to comment on: clinical experience with titrating doses of digoxin antibodies in acute digoxin poisoning	3
Assessment of high-dose acetylcysteine in acute high-risk paracetamol (acetaminophen) ingestion	3
Clinical presentation of type 1 and type 2 pyrethroid poisoning in humans	3
Dexamethasone therapy prevents delayed neuropsychiatric sequelae after carbon monoxide poisoning: a prospective registry-based study	3
Outcomes of pediatric ingestions of alcohol-based hand sanitizers during the COVID-19 pandemic	3
Clinical and pathological characteristics of acute kidney injury caused by diquat poisoning	3
Pre-hospital triage of children at risk of oesophageal button battery impaction: the button battery impaction score	3
The use of lipid emulsion therapy in severe hydroxychloroquine overdose – a narrative review of case reports	3
Comment on: “validation of a nomogram used to predict lithium concentration in overdose”	3
Authors reply to comment on Hayman et al. “elevated osmol gaps in patients with alcoholic ketoacidosis”	3
Lack of toxicity after simultaneous application of 17 lidocaine 4% patches	3
North American Congress of Clinical Toxicology (NACCT) 2024	3
The role of QRS complex prolongation in predicting severe toxicity in single-xenobiotic overdose	3
Successful delivery following acute maternal diquat poisoning	3
Relative safety and quality of various dietary supplement products U.S. Service Members ask about	3
Low risk of adverse events associated with flumazenil administration: a retrospective poison center analysis of acutely poisoned patients	3
Xylazine detection in urine of fentanyl-positive patients from a single academic center	3
North American Congress of Clinical Toxicology (NACCT) 2022	3
The Goiânia incident, the semiotics of danger, and the next 10,000 years	3
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 antivenom	3
Study of micro-signals: proposed analysis methodology based on data from the Lille Poison Control and Toxicovigilance Center	3
Dose ingested, vomiting, and outcome in patients ingesting a standard paraquat 20SL formulation	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
Suspected stonefish envenomation in Queensland over eight years: a retrospective series	3
A fatal case of polyoxyethylated- p -nonylphenol surfactant (Wetter 600) ingestion	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
Trends in opioid exposures among young children reported to United States poison centers from 2016 to 2023	3
Olanzapine/samidorphan precipitated opioid withdrawal in a patient taking transdermal fentanyl	3
Using extracorporeal treatments for managing poisoned patients – can we do better, and how?	3
Peri-mortem rigidity in a fatal case of severe salicylate poisoning	3
Association between initial diquat plasma concentration, severity index and in-hospital mortality in patients with acute diquat poisoning: a retrospective cohort study	3
Plant identification applications do not reliably identify toxic and edible plants in the American Midwest	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
Tapentadol exposures and poisonings in Australia	3
Synthetic cathinones in Belgium: a cluster of poly-drug intoxications involving α-pyrrolidinoisohexiophenone (α-PiHP)	3
After the bite: evaluating a specialized clinic for follow-up care for snake envenomation	3
Use of large language models to optimize poison center charting	3
Identification of a novel opioid, N-piperidinyl etonitazene (etonitazepipne), in patients with suspected opioid overdose	3
Defining recent cannabis use analytically	3
Association of the OPRM1 variant rs1799971 (A118G) and clinical manifestations in tramadol poisoned patients: a cross-sectional study	3
Methaemoglobinaemia and oesophageal burns after accidental ingestion of an alkyl nitrite	3
Insulin concentrations following termination of high-dose insulin euglycemic therapy	3
Pediatric opioid use-associated neurotoxicity with cerebellar edema (POUNCE) syndrome	2
Overdose or self-poisoning: considerations for consistency in language	2
Clinical Toxicology Expert Reviewers 2024	2
Diagnosis of cocaine-induced midline destructive lesions	2
The potential of keratinized matrices for the retrospective exploration of repeated ayahuasca use by patients	2
Comment on West et al. "Identifying and quantifying exposures involving counterfeit opioid analgesic products"	2
Cannabidiol exposures in the United States, National Poison Data System, July 2014–June 2021	2
Inhalant misuse reported to America’s Poison Centers, 2001–2021	2