Clinical Toxicology

Article	Citations
Medication errors in inquiries to the Poison Information Center Erfurt — a systematic analysis	244
Lactic acidosis in a patient who ingested rotenone-containing beans (Pachyrhizus erosus)	139
22nd Scientific Congress of The Asia Pacific Association of Medical Toxicology (APAMT) 11-14 November 2024, Penang, Malaysia	104
Effectiveness and tolerability of methylthioninium chloride (methylene blue) for the treatment of methemoglobinemia: twenty-four years of experience at a single poison center	93
Comment on Poor relationship between N-terminal pro-brain natriuretic peptide (NT-proBNP) and level of consciousness following intentional ingestion of eucalyptus oil	85
Methadone and suboxone® mentions on twitter: thematic and sentiment analysis	60
Clinical characteristics of hospitalized patients with paracetamol poisoning before and after restrictions of over-the-counter sale of paracetamol	45
Timing of embolic phenomena after hydrogen peroxide exposure – a systematic review	44
Cerebrospinal fluid lactate gap in ethylene glycol poisoning	40
Comment on: clinical experience with titrating doses of digoxin antibodies in acute digoxin poisoning	39
Challenges with glucagon-like peptide-1 (GLP-1) agonist initiation: a case series of semaglutide overdose administration errors	34
Monitoring trends in lacrimator exposures using the National Poison Data System: 2000–2021	34
The critical time period for administering antivenom: golden hours and missed opportunities	32
An attempted homicidal poisoning with bromadiolone	31
Caustic injury resulting from borax powder ingestion	30
Accidental intravenous acetaminophen overdose in an infant without development of hepatotoxicity: a case report	27
Harm due to the use of pressure bandage immobilisation in patients bitten by snakes in Australia	27
Potential cyanide poisoning reported to the UK national poisons information service: 2008–2019	25
Comment on Fomepizole as an adjunct in acetylcysteine treated acetaminophen overdose patients: a case series	24
Clinical effects of acute lamotrigine overdose (ATOM-10)	24
Serum ceruloplasmin monitoring in a case of silver intoxication due to intravenous silver infusion	23
Comment on Glatstein’s case series of Echis coloratus envenoming in children	22
Incidence of rebound salicylate toxicity following cessation of urine alkalinization	21
Diffusion-weighted imaging in methanol poisoning: beyond the lentiform fork sign	20
Clinical effects of occupational clonidine poisoning and efficacy of extracorporeal blood purification therapies	20

Response to Özdemir Ö on “Kounis syndrome due to remdesivir allergy”	18
Oral ethanol prescribing for alcohol withdrawal syndrome: initial findings and future directions following implementation within a United Kingdom National Health Service setting	18
Physostigmine reversal of delirium from second generation antipsychotic exposure: a retrospective cohort study from a regional poison center	17
Delta-8 tetrahydrocannabinol, delta-10 tetrahydrocannabinol, and tetrahydrocannabinol-O acetate exposures reported to America’s Poison Centers	17
Impact of social media “challenges” on poison center case volume for intentional ingestions among school-aged children: an observational study	16
Long-term health manifestations of hump-nosed pit viper (Genus: Hypnale ) bites	16
Comment on “lipid emulsion therapy during management of the critically-ill poisoned patient: a prospective cohort study”	16
Clam calamity: five concurrent cases of neurotoxic shellfish poisoning with varying presentations following ingestion of clams from Gulf of Mexico water contaminated with Karenia brevis	15
Colchicum autumnale intoxications: experience of the Poisons Information Centre, Austria 2002–2018	15
Laboratory-guided repeat dosing of idarucizumab for dabigatran reversal	14
Exposure to hand sanitisers and other cleaning products in Victoria, Australia during the COVID-19 pandemic	14
Direct maternal injection of digoxin in error during a fetal pre-termination procedure	13
Poisoning from non-food grade poppy seeds	13
Dialyzability of lamotrigine by continuous venovenous haemodiafiltration	13
Does occupational exposure to fentanyl cause illness? A systematic review	13
Lipid emulsion in the poisoned patient – a few answers, but more questions remain	13
Forty years of National Poison Data System Annual Reports	13
Lactic acidosis with elevated osmolal gap after ingestion of a lighter fluid containing dipropylene glycol monomethyl ether (DPGME), a case report	12
Comment on “Efficacy of lipid emulsion therapy in treating cardiotoxicity from diphenhydramine ingestion: a review and analysis of case reports”	12
Longitudinal trends in liquid laundry detergent packet exposures: 2014–2022	11
42nd International Congress of the European Association of Poisons Centres and Clinical Toxicologists (EAPCCT) 24-27 May 2022, Tallinn, Estonia	11
Cognitive impairment following sedative overdose	10
Unintentional poisoning from decanted toxic household chemicals	10
Comment on: predictors of severe outcome following opioid intoxication in children	10
Reply to Comments on Fomepizole as an adjunct in acetylcysteine treated acetaminophen overdose patients: a case series	10
The authors reply – predictors of severe outcome following opioid intoxication in children	10
Defining the roles of computed tomography and esophagogastroduodenoscopy in patients with caustic ingestions	9
Ethanol for the management of alcohol withdrawal syndrome: a systematic review	9
Factors associated with seizure development after bupropion overdose: a review of the toxicology investigators consortium	9
History of Modern Clinical Toxicology	9
A 10-year retrospective review of exposures to volatile nitrites reported to the Victorian Poisons Information Centre	9
43rd International Congress of the European Association of Poisons Centres and Clinical Toxicologists (EAPCCT), 23–26 May 2023, Palma de Mallorca, Spain	9
Radiopaque rodenticide	9
Thromboelastography in the setting of acetaminophen-induced hepatotoxicity	9
Comment on Fomepizole as an adjunct in acetylcysteine treated acetaminophen overdose patients: a case series	9
Authors reply to comment on Hayman et al. “elevated osmol gaps in patients with alcoholic ketoacidosis”	8
Extrapyramidal effects in a young child with acute organophosphorus insecticide poisoning	8
Single bag high dose intravenous N-acetylcysteine associated with decreased hepatotoxicity compared to triple bag intravenous N-acetylcysteine in high-risk acetaminophen ingestions	8
Efficacy of unithiol (2,3-dimercaptopropanesulfonate) and acetylcysteine in a patient with arthroplastic cobalt toxicity	8
One poison center’s experience with “snake” firework ingestions	8
Ethyl chloride poisoning from inhalational misuse: clinical features and outcomes	8
Electrocardiographic changes in severe quetiapine poisoning	8
A survey study of urban retailers selling alkyl nitrites (“poppers”) in the New York City area which led to public health interventions	8
44th International Congress of the European Association of Poisons Centres and Clinical Toxicologists (EAPCCT), 28–31 May 2024, Munich, Germany	8
Clinical Toxicology Expert Reviewers 2023	8
Advancing toxicovigilance of recreational drugs, including new psychoactive substances, by using data from four European poison centres	8
Comment on “Elevated osmol gaps in patients with alcoholic ketoacidosis”	8
North American Congress of Clinical Toxicology (NACCT) 2024	8
A case of fatal paralytic shellfish poisoning in Alaska	8
Exposure reasons, other substance use, and medical outcomes of poison control center cases aged 50+ involving opioids, 2015–2020	8

Pediatric cannabis intoxication trends in the pre and post-legalization era	7
Thiocyanate toxicity: a teaching case	7
Genetic variants associated with ALT elevation from therapeutic acetaminophen	7
Effectiveness of intramuscular naloxone 1,600 μg in addition to titrated intravenous naloxone 100 μg for opioid poisoning: a randomised controlled trial	7
Clinical symptoms and blood concentration of new psychoactive substances (NPS) in intoxicated and hospitalized patients in the Budapest region of Hungary (2018-19)	7
A cluster of tetrodotoxin poisoning in Oman	7
Intentional avermectin pesticide ingestion: a retrospective multicenter study	7
Emerging synthetic cannabinoids detected by a drug checking service in Toronto, Canada	7
Characteristics and circumstances of volatile solvent misuse-related death in Australia, 2000–2021	7
Methanol poisonings from contaminated hand sanitizers identified by the United States Food and Drug Administration	7
Characteristics of analytically confirmed gamma-hydroxybutyrate (GHB) positive patients in the emergency department: presentation, poly-drug use, disposition and impact on intensive care resource util	7
Poison center consultation reduces hospital length of stay	7
An in vitro study of metformin adsorption to activated charcoal	7
Kidney outcomes after methanol and ethylene glycol poisoning: a systematic review and meta-analysis	6
Lactate as an early prognostic indicator in yellow phosphorus rodenticide-induced acute hepatic failure: a retrospective observational study in a tertiary care hospital	6
Magnetic resonance imaging in a patient with nitrous oxide-induced subacute combined degeneration of the spinal cord	6
Delayed cerebrospinal fluid removal is ineffective in treating intrathecal baclofen overdose	6
Broken thermometer in hand: mercury elevation caused by improper debridement	6
Towards policy impact – an exploration of Clinical Toxicology research cited in policy documents and patents	6
Bites by exotic snakes reported to the UK National Poisons Information Service 2009–2020	6
Correction	6
The impact of updated national guidelines for managing unintentional paediatric liquid paracetamol exposures: a retrospective poisons centre study	6
Poisoning in older adults: characterization of exposures reported to the Dutch Poisons Information Center	6
Successful treatment of potentially lethal dose thallium sulfate poisoning with sequential use of Prussian blue and multiple-dose activated charcoal	6
Fomepizole dosing during continuous renal replacement therapy – an observational study	6
Trends and correlates of discordant reporting of drug use among nightclub/festival attendees, 2019–2022	6
Involuntary MDMB-4en-PINACA intoxications following cannabis consumption: clinical and analytical findings	6
Clinical experience with titrating doses of digoxin antibodies in acute digoxin poisoning. (ATOM-6)	6
Acute fungicide self-poisoning - a prospective case series	6
Short message service as a tool for mass follow-up of patients requesting a poison centre: a retrospective comparative study in France	6
Can mind-altering prescription medicines be safe? Lessons from ketamine and esketamine	6
Veno-venous extracorporeal membrane oxygenation (VV-ECMO) for acute poisonings in United States: a retrospective analysis of the Extracorporeal Life Support Organization Registry	6
Rationalising the dose threshold for severe carbamazepine toxicity: a retrospective series	6
Retrospective evaluation of management guidelines for extracorporeal treatment of metformin poisoning	6
Carbon monoxide poisoning mortality in the United States from 2015–2021	6
First step in assessment of VipGrade®, a computerized clinical decision system to assess Vipera envenomation grading: a single-center interrater reliability study	5
In vitro analysis of n-acetylcysteine (NAC) interference with the international normalized ratio (INR)	5
VipGrade ® electronic clinical tool: retrospective evaluation on a paediatric cohort of European viper bites	5
Pediatric poison exposures reported to United States poison centers before and during the COVID-19 pandemic	5
Common pitfalls in the use of hypertonic sodium bicarbonate for cardiac toxic drug poisonings	5
Clinical features of COVID-19 rapid antigen test exposures reported by an Australian poisons information centre: a prospective study	5
Ivermectin: a mini-review	5
Comparison of children receiving extracorporeal treatments for poisoning at United States centers with and without a pediatric nephrologist	5
Hemolysis associated with Russula subnigricans ingestion in a patient with glucose-6-phosphate dehydrogenase deficiency	5
Toxicokinetics of thebaine in those consuming non-food grade poppy seeds as a tea	5
A recent increasing occurrence of etomidate and propoxate/isopropoxate misuse	5
Significant increase in the number of occupational exposures reported to the Dutch Poisons Information Centre (2016–2022): the importance of poison centre data in health surveillance	5
Out-of-hospital assessment and triage of paracetamol (acetaminophen) exposure in the United States and Canada: a consensus guideline	5
Response to Klein et al. 2023	5
Acute coronary syndrome from scombroid poisoning: a narrative review of case reports	5
Hospital encounters for pediatric ingestions before and during the COVID-19 pandemic	5
Severe glycerol intoxication mimicking toxic alcohol ingestion following large volume consumption of vanilla essence	5
Severe morel mushroom poisonings in France – a nationwide French poison centres study 2010–2020	5
Increasing severity of medical outcomes and associated substances in cases reported to United States poison centers	5
Severe metabolic derangements in an adolescent with cannabinoid hyperemesis syndrome	5
Effects of intravenous lipid emulsions on the reversal of pacing-induced ventricular arrhythmias and electrophysiological alterations in an animal model of ropivacaine toxicity	5
Comment on “Comparison of children receiving extracorporeal treatments for poisoning at United States centers with and without a pediatric nephrologist” by Cole et al.	5
Chlorfenapyr poisoning: a systematic review	4
Single-substance trazodone exposures reported to US poison centers from 2000 to 2019	4
Possible envenomation by a sting by Pleurodeles waltl (Iberian Ribbed Newt) resulting in mild symptoms	4
Diphenhydramine overdose with neuromuscular excitation	4
Human poisonings by neurotoxic phycotoxins related to the consumption of shellfish: study of cases registered by the French Poison Control Centres from 2012 to 2019	4
Risk factors for deliberate self-poisoning among children and adolescents in The Netherlands	4
A lethal cocktail – shining a light on the relationship between alcohol use and pesticide self-poisoning	4
Clinical features associated with ADB-BUTINACA exposure in patients attending emergency departments in England	4
Metal fume fever-like syndrome after inhalation of cake decorating luster dust: beware, dangerous frosting!	4
Comment on “pediatric cannabis intoxication trends in the pre and post-legalization era”	4
Effectiveness of multiple-dose activated charcoal in lamotrigine poisoning: a case series	4
Correction	4
Safety of haem arginate in overdose: report of an uneventful fourfold accidental overdose	4
Clinical outcomes associated with orphenadrine deliberate self-poisoning: a retrospective poisons centre study	4
Wastewater analysis for psychoactive substances at music festivals across New South Wales, Australia in 2019–2020	4
National assessment of anti-epileptic drug exposures among pre-teens and adolescents, 2000–2020	4
Comment on “Rising incidence and high mortality in intentional sodium nitrite exposures reported to US poison centers”	4
Diquat poisoning in a pregnant woman resulting in a miscarriage and maternal death	4
Oral potassium poisoning: a retrospective review of the National Poison Data System 2010–2021	4
Refractory seizures due to severe quetiapine poisoning	4
Response to the comment on “pediatric cannabis intoxication trends in the pre and post-legalization era”	4
Cerebral demyelination with internuclear ophthalmoplegia following wasp sting	4
Exposures in pregnant patients reported to United States Poison Centers	4

Risk of peri-intubation adverse events during emergency department intubation of overdose patients: a national emergency airway registry (near) analysis	4
Sotalol poisoning and its unique treatment considerations compared with traditional therapies for beta-adrenoceptor blocking drug poisoning	4
Seniors and single-use detergent sacs (SUDS): a review of the National Poison Data System from 2012 to 2020	4
Assessing the impact of a new medical toxicology service on the treatment of paracetamol overdose at a large tertiary care hospital	4
Birth outcomes in women exposed to diagnostic radiology procedures during first trimester of pregnancy: a prospective cohort study	4
Neuropsychiatric disorders associated with recreational nitrous oxide use	4
Can endogenous ethylene glycol production occur in humans? A detailed investigation of adult monozygotic twin sisters	4
Increases in NT-proBNP in the poisoned patient are probably multifactorial	4
Does the ICU Requirement Score allow the poisoned patient to be safely managed without admission to the intensive care unit? – a validation cohort study	4
Delayed cardiotoxicity in venlafaxine and quetiapine overdose	4
Comment on the serotonin toxidrome: shortfalls of current diagnostic criteria for related syndromes	4
Prolonged coagulopathy following repeated diphacinone ingestion	4
Glimepiride pharmacokinetics in overdose	4
Correction	4
Marked and prolonged serotonin toxicity in a tramadol-poisoned patient with a pharmacokinetic study	4
A cluster of 25B-NBOH poisonings following exposure to powder sold as lysergic acid diethylamide (LSD)	3
Lung injury caused by aspiration of organophosphorus insecticide and gastric contents in pigs	3
Functional vitamin B 12 deficiency is a consistent feature in hospital admissions for neurological disorders due to the use of nitrous oxide	3
Amlodipine fatality trends	3
Treating ethylene glycol poisoning with alcohol dehydrogenase inhibition, but without extracorporeal treatments: a systematic review	3
Evaluation of the International Society on Thrombosis and Haemostasis definition of major bleeding in Arizona rattlesnake bites	3
Predicting serotonin toxicity in serotonin reuptake inhibitor overdose	3
Implementation of a pharmacist toxicology service on treatment of paracetamol (acetaminophen) overdose	3
Pediatric suicides reported to U.S. poison centers	3
Fomepizole as an adjunct in acetylcysteine treated acetaminophen overdose patients: a case series	3
Preventing occupational chemical eye injuries: important lessons from poison information centres	3
Ingestion of heated tobacco sticks containing a micro-blade by children: the importance of performing a radiograph	3
The trajectory of serum salicylate concentrations after ingestion of medicinal oil containing methyl salicylate	3
Snakebite-associated thrombotic microangiopathy: an Australian prospective cohort study [ASP30]	3
Is epinephrine harmful in volatile substance use-induced cardiac arrest?	3
Veratrum parviflorum poisoning: identification of steroidal alkaloids in patient blood and breast milk	3
The clinical toxicology of ketamine	3
From coma to recovery: removal of amanitin by percutaneous transhepatic bile drainage in severe Amanita subjunquillea mushroom poisoning	3
Elevated methemoglobin levels in patients treated with hydroxocobalamin: a case series and in-vitro analysis	3
Sentanyl: a comparison of blood fentanyl concentrations and naloxone dosing after non-fatal overdose	3
Suspected Fanconi syndrome from cadmium toxicity exacerbated by heavy kratom use. A rare occurrence	3
Vasodilation in patients with calcium channel blocker poisoning treated with high-dose insulin: a comparison of amlodipine versus non-dihydropyridines	3
Correction	3
Delayed peak methemoglobinemia after intentional sodium nitrate ingestion	3
North American Congress of Clinical Toxicology (NACCT) 2023	3
Trends and characteristics of ocular exposures related to e-cigarettes and e-liquids reported to Poison Control Centers in the United States, 2010–2019	3
Clinical effects and factors associated with adverse clinical outcomes of hymenopteran stings treated in a Thai Poison Centre: a retrospective cross-sectional study	3
Cocaine exposures reported to United States poison control centers, 2000–2020	3
Effect of the first wave of COVID-19 on Poison Control Centre activities in 21 European countries: an EAPCCT initiative	3
The influence of the model pesticides parathion and paraoxon on human cytochrome P450 and associated oxygenases in HepaRG cells	3
A prospective study of acute propranolol overdose defining dose thresholds of severe toxicity (ATOM – 9)	3
Clinical features of seven patients poisoned with a tolfenpyrad-based insecticide in Thailand	3
Characteristics of emergency department presentations following ingestion of Taxus baccata (yew)	3
Intravenous lipid emulsion for ivermectin toxicity in an eight-year-old male	3
Critical care interventions in children aged 6 months to 12 years admitted to the pediatric intensive care unit after unintentional cannabis exposures	3
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 series	3
Severe outcomes following pediatric cannabis intoxication: a prospective cohort study of an international toxicology surveillance registry	3
Measurement of an intestinal biomarker during poisonings from select toxicants and toxins	3
Comment on epidemiology of scorpionism in France: nationwide scorpion exposure. Description of Buthus pyrenaeus envenoming	3
Lipid emulsion for the treatment of acute organophosphate poisoning: an Open-Label randomized trial	3
Acquired methemoglobinemia in children presenting to Italian pediatric emergency departments: a multicenter report	3
In memoriam: Steven Alan Seifert (1950–2022)	3
Methyl mercaptan gas: mechanisms of toxicity and demonstration of the effectiveness of cobinamide as an antidote in mice and rabbits	3
Fluvoxamine used to treat COVID-19 resulting in theophylline toxicity from CYP 1A2 drug–drug interaction	3
Skeletal fluorosis secondary to harmful inhalant use	3
Successful management of monocled cobra (Naja kaouthia) envenomation with neuro polyvalent antivenom	3
Did hypervitaminosis A have a role in Mawson’s ill-fated Antarctic exploration?	3
Fasciotomy following North American pit viper envenomation in Texas 2004–2021	3
Kounis syndrome associated with remdesivir therapy in a COVID-19 patient	3
Severe food-induced methaemoglobinaemia	3
Major component causing neurological toxicity in acute glufosinate ammonium poisoning: determination of glufosinate, 1-methoxy-2-propanol, and ammonia in serum and cerebrospinal fluid	3
The importance of free digoxin serum levels after digoxin poisoning	3
Dexmedetomidine in the treatment of toxicologic conditions: a systematic review and review of the toxicology investigators consortium database	3
Factors associated with seizure in tramadol overdose: a 12-year retrospective study in Hong Kong	2
Effects of interrupting the enterohepatic circulation in amatoxin intoxications	2
Welcome to America’s Poison Centers	2
The relationships of plasma profenofos and ethanol concentrations to clinical outcome in acute profenofos self-poisoning	2
Dihydroergotamine extravasation: prolonged arterial vasospasm requiring medical and surgical treatment	2
Adverse events in the U.S. following ocular exposure to alcohol-based hand sanitizers	2
Acute exposure to hydrazine reported to four United States regional poison centers: reconsidering a paradigm	2
Clinical effects and outcomes of perampanel overdoses reported to U.S. poison centers	2
Characterization of patients with a snakebite presenting to healthcare facilities and reported to poison and drug information centers—Arizona, 2017–2021	2
Optic nerve sheath diameter measurements to predict delayed neurological sequelae after carbon monoxide poisoning	2
Survival after chlorfenapyr intoxication by non-gastrointestinal route	2
Changes in unintentional cannabis exposures in children 6 months to 5 years reported to United States poison centers during the first nine months of the coronavirus-19 pandemic	2
Characterization of glucagon-like peptide-1 (GLP-1) agonist exposures reported to a single United States poison center	2
Fatal lead encephalopathy following the ingestion of fishing weights (“sinkers”)	2
Excess baggage in describing acetylcysteine regimens	2
Unusual electrocardiographic manifestations of lethal cocaine toxicity	2
Multiorgan failure after ingestion of acetic acid	2
Reversible leukoencephalopathy associated with organotin poisoning	2
Co-exposure to gamma-hydroxybutyrate is associated with attenuated neuropsychiatric and stimulant effects of metamfetamine	2
Hexahydrocannabinol poisoning reported to French poison centres	2
Comment on: amanitin intoxication	2
Repeated poisonings in Denmark – a nationwide study	2
Minoxidil overdose with hypotension effectively managed with norepinephrine, rather than dopamine	2
Transdermal buprenorphine for in-hospital transition from full agonist opioids to sublingual buprenorphine: a retrospective observational cohort study	2
Effect of new legislation in Germany on prevalence and harm of synthetic cannabinoids	2
Cannabidiol exposures in the United States, National Poison Data System, July 2014–June 2021	2
Increased prevalence of pentylone and dipentylone in combination with other drugs in New South Wales, Australia	2