Clinical Toxicology

Papers
(The TQCC of Clinical Toxicology is 4. 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 2021-08-01 to 2025-08-01.)
ArticleCitations
Lactate as an early prognostic indicator in yellow phosphorus rodenticide-induced acute hepatic failure: a retrospective observational study in a tertiary care hospital264
Extrapyramidal effects in a young child with acute organophosphorus insecticide poisoning155
Oral ethanol prescribing for alcohol withdrawal syndrome: initial findings and future directions following implementation within a United Kingdom National Health Service setting143
Evaluation of the reproducibility and validity of the use of the causality assessment method for poisonings designed and applied by the French poison control centres94
In vitro analysis of n-acetylcysteine (NAC) interference with the international normalized ratio (INR)88
Involuntary MDMB-4en-PINACA intoxications following cannabis consumption: clinical and analytical findings61
An attempted homicidal poisoning with bromadiolone60
Hemolysis associated with Russula subnigricans ingestion in a patient with glucose-6-phosphate dehydrogenase deficiency53
First step in assessment of VipGrade®, a computerized clinical decision system to assess Vipera envenomation grading: a single-center interrater reliability study46
Fomepizole dosing during continuous renal replacement therapy – an observational study45
Comment on Fomepizole as an adjunct in acetylcysteine treated acetaminophen overdose patients: a case series39
Laboratory-guided repeat dosing of idarucizumab for dabigatran reversal36
VipGrade ® electronic clinical tool: retrospective evaluation on a paediatric cohort of European viper bites35
Seizures associated with single substance exposures in pediatric patients: a 15-year retrospective study34
Bites by exotic snakes reported to the UK National Poisons Information Service 2009–202032
The critical time period for administering antivenom: golden hours and missed opportunities31
Acute coronary syndrome from scombroid poisoning: a narrative review of case reports27
Thiocyanate toxicity: a teaching case26
Carbon monoxide poisoning mortality in the United States from 2015–202125
Response to the comment on “pediatric cannabis intoxication trends in the pre and post-legalization era”23
Diphenhydramine overdose with neuromuscular excitation22
Out-of-hospital assessment and triage of paracetamol (acetaminophen) exposure in the United States and Canada: a consensus guideline21
Clinical features of seven patients poisoned with a tolfenpyrad-based insecticide in Thailand21
Risk factors for deliberate self-poisoning among children and adolescents in The Netherlands21
Delayed peak methemoglobinemia after intentional sodium nitrate ingestion19
From coma to recovery: removal of amanitin by percutaneous transhepatic bile drainage in severe Amanita subjunquillea mushroom poisoning19
Kounis syndrome associated with remdesivir therapy in a COVID-19 patient19
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 syndrome17
Population pharmacokinetic analysis of acetaminophen overdose with immediate release, extended release and modified release formulations16
Veratrum parviflorum poisoning: identification of steroidal alkaloids in patient blood and breast milk16
Assessing the impact of a new medical toxicology service on the treatment of paracetamol overdose at a large tertiary care hospital15
Severe food-induced methaemoglobinaemia15
Risk of peri-intubation adverse events during emergency department intubation of overdose patients: a national emergency airway registry (near) analysis15
Amlodipine fatality trends15
Treating ethylene glycol poisoning with alcohol dehydrogenase inhibition, but without extracorporeal treatments: a systematic review14
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
Ototoxicity following direct inner ear exposure to metallic mercury13
Vasodilation in patients with calcium channel blocker poisoning treated with high-dose insulin: a comparison of amlodipine versus non-dihydropyridines13
A “madd”-ening confounding: fruit seeds mimicking enteral drug concealment by computed tomography13
Repeated poisonings in Denmark – a nationwide study13
An unexpected computed tomography finding in a suspected body packer13
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
Pesticide use, agricultural outputs, and pesticide poisoning deaths in Japan12
E-cigarette or vaping-associated lung injury (EVALI): a review of international case reports from outside the United States of America11
Optic nerve sheath diameter measurements to predict delayed neurological sequelae after carbon monoxide poisoning11
Laboratory features in acute paediatric poisoning with liquid laundry detergent capsules: a seven-year retrospective study in Romania11
Gastric perforation after polyurethane foam ingestion11
Adverse events in the U.S. following ocular exposure to alcohol-based hand sanitizers11
Lack of cholinergic features in healthcare workers caring for a patient with organophosphate poisoning11
Identification and clinical management of etomidate-like substance withdrawal11
The serum glycolate concentration: its prognostic value and its correlation to surrogate markers in ethylene glycol exposures11
Efficacy of lipid emulsion therapy in treating cardiotoxicity from diphenhydramine ingestion: a review and analysis of case reports11
Clinical features of snake envenomation in South Korea11
Dose-related hypoglycemia in venlafaxine poisoning: a retrospective cohort study10
Unraveling tenfold administration errors of oral risperidone solution in children10
Radiological changes in lead poisoning10
Lidocaine overdose: tumescent liposuction jeopardy10
Outcomes of benzonatate exposures reported to a single United States poison center: a 20-year review10
Association of prescription drug monitoring programs with benzodiazepine prescription dispensation and overdose in adolescents and young adults10
Anaphylactoid reactions to acetylcysteine treatment in wild mushroom poisoning patients in Yunnan, China10
Comparison of two-bag and three-bag acetylcysteine regimens in the treatment of paracetamol poisoning: a systematic review and meta-analysis9
Ingestion of tartar emetic (antimony potassium tartrate)9
Making US poison centers a part of the solution to the COVID-19 pandemic9
Correction9
Hemodialysis enhances elimination of ethosuximide in massive overdose9
The effect of acetylcysteine on the prothrombin time and international normalized ratio: a narrative review8
Ferric chloride ingestion with corrosive gastritis8
Gliclazide disposition in overdose – a case report with pharmacokinetic modeling8
Detection of ethanol, cannabinoids, benzodiazepines, and opioids in older adults evaluated for serious injuries from falls8
Sodium bicarbonate treatment for QRS widening in bupropion overdoses8
Ambulance referrals to an Australian Poisons Information Centre: a retrospective series8
A clinical study and laboratory evaluation of the cardiac and hepatic toxic effects of paraphenylenediamine8
A severe case of Levamisole-induced vasculitis8
Supratherapeutic digoxin concentrations after second trimester termination of pregnancy8
Adherence of caregivers of children to advice provided by a National Poison Information Center8
Plasma concentrations of phenibut and mitragynine in a single patient8
An MDMA cluster and the utility of illicit drug blood sampling8
Trends in intentional abuse and misuse ingestions in school-aged children and adolescents reported to US poison centers from 2000-20208
Synthetic cannabinoid poisonings and access to the legal cannabis market: findings from US national poison centre data 2016–20197
The minor cannabinoid cannabigerol (CBG) is a highly specific blood biomarker of recent cannabis smoking7
Tralopyril poisoning due to respiratory exposure7
Ciguatera fish poisoning in the age of discovery and the age of enlightenment7
Cannabis positivity rates in 17 emergency departments across the United States with varying degrees of marijuana legalization7
Valacyclovir neurotoxicity and kinetics in a patient with impaired kidney function7
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 data7
Correction7
Identifying and quantifying exposures involving counterfeit opioid analgesic products7
Correction7
Delayed cardiac arrest after hydrofluoric acid ingestion7
The vitamin B12 analog cobinamide ameliorates azide toxicity in cells, Drosophila melanogaster, and mice7
An outbreak of Galerina sulciceps -like (Galerina cf. sulciceps) mushroom poisoning7
Amanita exitialis poisoning in five patients7
Expanding the evidence for managing metformin poisoning to support decision-making7
Predictors of FabAV use in copperhead envenomation7
Comment on “Severe morel mushroom poisonings in France” by Vodovar et al.7
Corrections7
COVID-19 lockdowns and incidence of psychoactive substance exposure according to age and sex7
Subclinical adrenal suppression and urine immunoassay detection of etomidate in an electronic cigarette user7
Accuracy and replicability of identifying eyelid tremor as an indicator of recent cannabis smoking7
22nd Scientific Congress of The Asia Pacific Association of Medical Toxicology (APAMT) 11-14 November 2024, Penang, Malaysia6
Unintentional poisoning from decanted toxic household chemicals6
Comparison of bedside clotting tests for detecting venom-induced consumption coagulopathy following Sri Lankan viper envenoming6
Intravenous phytonadione administered orally in reducing warfarin-related coagulopathy6
Ivabradine exposures reported to United States poison centers 2015–20236
Barriers to the performance of timely hemodialysis when recommended by one United States poison center: a retrospective review6
ToxNet: an artificial intelligence designed for decision support for toxin prediction6
Clinical effects of occupational clonidine poisoning and efficacy of extracorporeal blood purification therapies6
Harm due to the use of pressure bandage immobilisation in patients bitten by snakes in Australia6
Radiopaque rodenticide6
Quantity of phenibut in dietary supplements before and after FDA warnings6
Metronidazole-induced encephalopathy in a patient with spondylodiscitis6
Impact of marijuana legalization on cannabis-related visits to the emergency department6
Paracetamol (acetaminophen) poisoning; consensus definitions of poisoning types and outcomes to be used in the clinical toxicology recommendations collaborative systematic review6
2022 Annual Report of the National Poison Data System ® (NPDS) from America’s Poison Centers ® : 40th Annual Report6
Comment on “Efficacy of lipid emulsion therapy in treating cardiotoxicity from diphenhydramine ingestion: a review and analysis of case reports”6
Ethyl chloride poisoning from inhalational misuse: clinical features and outcomes6
Adrenal insufficiency associated with long-term use of electronic cigarettes reportedly containing etomidate in two patients6
Massive warfarin overdose management in an adolescent patient6
Factors associated with prolonged intensive care stay among self-poisoned 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
Management of button battery ingestion6
Laryngeal edema after ingestion of an ornamental plant ( Alocasia odora ): serial clinical images in an elderly patient6
Xylazine poisoning: a systematic review6
Delta-8 tetrahydrocannabinol, delta-10 tetrahydrocannabinol, and tetrahydrocannabinol-O acetate exposures reported to America’s Poison Centers5
Severe outcomes following pediatric cannabis intoxication: a prospective cohort study of an international toxicology surveillance registry5
High concordance between urine toxicology results and self-reported fentanyl use in Nevada and New Mexico5
Prolonged coagulopathy following repeated diphacinone ingestion5
Short message service as a tool for mass follow-up of patients requesting a poison centre: a retrospective comparative study in France5
Challenges with glucagon-like peptide-1 (GLP-1) agonist initiation: a case series of semaglutide overdose administration errors5
Comparison of children receiving extracorporeal treatments for poisoning at United States centers with and without a pediatric nephrologist5
Accidental intravenous acetaminophen overdose in an infant without development of hepatotoxicity: a case report5
Incidence of rebound salicylate toxicity following cessation of urine alkalinization5
Once, twice, three times a bite victim: recidivism in snake envenomation5
The influence of the model pesticides parathion and paraoxon on human cytochrome P450 and associated oxygenases in HepaRG cells5
Exogenous [Pyr 1 ]apelin-13 prevents bupivacaine-induced cardiotoxicity via the apelin (APJ) receptor5
Chlorfenapyr poisoning: a systematic review5
Physostigmine reversal of delirium from second generation antipsychotic exposure: a retrospective cohort study from a regional poison center5
Correction5
Seven patients with analytically confirmed MDMB-4en-PINACA toxicity associated with the use of electronic vaping devices5
Emerging synthetic cannabinoids detected by a drug checking service in Toronto, Canada5
Clinical characteristics of hospitalized patients with paracetamol poisoning before and after restrictions of over-the-counter sale of paracetamol5
Reply to Comments on Fomepizole as an adjunct in acetylcysteine treated acetaminophen overdose patients: a case series5
Analysis of clinical challenges and prognostic risk factors for 195 cases of iatrogenic botulism in China5
Exposure to hand sanitisers and other cleaning products in Victoria, Australia during the COVID-19 pandemic5
A recent increasing occurrence of etomidate and propoxate/isopropoxate misuse5
Severe metabolic derangements in an adolescent with cannabinoid hyperemesis syndrome5
Does snake envenoming cause chronic kidney disease? A cohort study in rural Sri Lanka5
Defining the roles of computed tomography and esophagogastroduodenoscopy in patients with caustic ingestions5
Cerebrospinal fluid lactate gap in ethylene glycol poisoning5
Towards policy impact – an exploration of Clinical Toxicology research cited in policy documents and patents5
Medication errors in inquiries to the Poison Information Center Erfurt — a systematic analysis5
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 Center5
Local envenoming following a bite by Montivipera xanthina4
Pre-hospital triage of children at risk of oesophageal button battery impaction: the button battery impaction score4
Comparing development of liver injury using the two versus three bag acetylcysteine regimen despite early treatment in paracetamol overdose4
Nitazenes: review of comparative pharmacology and antagonist action4
Increased prevalence of pentylone and dipentylone in combination with other drugs in New South Wales, Australia4
Effect of Agkistrodon halys antivenom in patients bit by green pit viper and the prognostic role of the disease – a retrospective cohort study4
A cluster of acute thebaine poisonings from non-food grade poppy seeds in the Australian food supply4
Unexpected refractory hypotension following intradermal minoxidil injection4
N-desethyl isotonitazene detected in polydrug users admitted to hospital in Birmingham, United Kingdom4
Common pitfalls in the use of hypertonic sodium bicarbonate for cardiac toxic drug poisonings4
National assessment of anti-epileptic drug exposures among pre-teens and adolescents, 2000–20204
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
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 antivenom4
The use of lipid emulsion therapy in severe hydroxychloroquine overdose – a narrative review of case reports4
Pregnancy outcome after early exposure to nivolumab, a PD-1 checkpoint inhibitor for relapsed Hodgkin’s lymphoma4
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 adults4
Viper envenomation in Central and Southeastern Europe: a multicentre study4
Hexahydrocannabinol poisoning reported to French poison centres4
The relationships of plasma profenofos and ethanol concentrations to clinical outcome in acute profenofos self-poisoning4
Measurement of an intestinal biomarker during poisonings from select toxicants and toxins4
Response to Klein et al. 20234
Safety of haem arginate in overdose: report of an uneventful fourfold accidental overdose4
A fatal case of polyoxyethylated- p -nonylphenol surfactant (Wetter 600) ingestion4
Assessment of high-dose acetylcysteine in acute high-risk paracetamol (acetaminophen) ingestion4
Clinical presentation of type 1 and type 2 pyrethroid poisoning in humans4
Differences in clinical features associated with cannabis intoxication in presentations to European emergency departments according to patient age and sex4
Fluvoxamine used to treat COVID-19 resulting in theophylline toxicity from CYP 1A2 drug–drug interaction4
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
Manganese concentration in patients with encephalopathy following ephedrone use: a narrative review and analysis of case reports4
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
Fatal lead encephalopathy following the ingestion of fishing weights (“sinkers”)4
Predicting serotonin toxicity in serotonin reuptake inhibitor overdose4
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
Minding the osmol gap: a sentinel event and subsequent laboratory investigation4
Ingestion of heated tobacco sticks containing a micro-blade by children: the importance of performing a radiograph4
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