Clinical Toxicology
@clinicaltoxicology.bsky.social
Official journal of American Academy of Clinical Toxicology, America's Poison Centers, and the European Association of Poisons Centres and Clinical Toxicologists.
https://www.tandfonline.com/journals/ictx20
https://www.tandfonline.com/journals/ictx20
A 59-year-old woman participated in a Kambo ritual and developed systemic inflammatory response syndrome and acute kidney injury
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November 4, 2025 at 6:17 PM
A 59-year-old woman participated in a Kambo ritual and developed systemic inflammatory response syndrome and acute kidney injury
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In this retrospective chart review from Taiwan, recreational use of etomidate analogues (particularly in “Zombie Vape” products) most commonly caused delirium and drowsiness
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November 4, 2025 at 6:16 PM
In this retrospective chart review from Taiwan, recreational use of etomidate analogues (particularly in “Zombie Vape” products) most commonly caused delirium and drowsiness
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A 77-year-old man presented with odynophagia and drooling after unintentionally ingesting only 1 mL of 10% benzalkonium chloride and 1% isopropyl methyl phenol.
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November 4, 2025 at 6:15 PM
A 77-year-old man presented with odynophagia and drooling after unintentionally ingesting only 1 mL of 10% benzalkonium chloride and 1% isopropyl methyl phenol.
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A 63-year-old female with a history of psoriasis started taking oral methotrexate and developed a desquamating rash. She received treatment with calcium folinate and made a full recovery.
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November 4, 2025 at 6:14 PM
A 63-year-old female with a history of psoriasis started taking oral methotrexate and developed a desquamating rash. She received treatment with calcium folinate and made a full recovery.
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A 4-year-old boy fell developed a periorbital mass two months after falling onto a thermometer containing elemental mercury. He required surgical removal of fibrous tissue, glass, and leaked elemental mercury.
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November 4, 2025 at 6:14 PM
A 4-year-old boy fell developed a periorbital mass two months after falling onto a thermometer containing elemental mercury. He required surgical removal of fibrous tissue, glass, and leaked elemental mercury.
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In this retrospective analysis of poison center data, midodrine exposures increased by 714% between 2001 and 2023. Most exposures were managed at home.
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November 4, 2025 at 6:08 PM
In this retrospective analysis of poison center data, midodrine exposures increased by 714% between 2001 and 2023. Most exposures were managed at home.
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In this retrospective cohort study of poison center cases in Thailand, cannabis exposures increased among children and adolescents during the recreational cannabis law period.
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November 4, 2025 at 6:05 PM
In this retrospective cohort study of poison center cases in Thailand, cannabis exposures increased among children and adolescents during the recreational cannabis law period.
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In this retrospective case series of 13 patients exposed to glyoxylic acid–containing hair-straightening products, 12 patients had acute kidney injury. Urinalysis showed calcium oxalate crystals in 27% of patients.
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November 4, 2025 at 6:04 PM
In this retrospective case series of 13 patients exposed to glyoxylic acid–containing hair-straightening products, 12 patients had acute kidney injury. Urinalysis showed calcium oxalate crystals in 27% of patients.
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In this retrospective chart review of copperhead snakebite patients, lower-than-recommended doses of Crotalidae polyvalent immune Fab (ovine) were commonly used and were not associated with worse clinical outcomes or frequent antivenom redosing.
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November 4, 2025 at 6:04 PM
In this retrospective chart review of copperhead snakebite patients, lower-than-recommended doses of Crotalidae polyvalent immune Fab (ovine) were commonly used and were not associated with worse clinical outcomes or frequent antivenom redosing.
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In this retrospective chart review of copperhead snakebite patients, lower-than-recommended doses of Crotalidae polyvalent immune Fab (ovine) were commonly used and were not associated with worse clinical outcomes or frequent antivenom redosing.
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November 4, 2025 at 6:04 PM
In this retrospective chart review of copperhead snakebite patients, lower-than-recommended doses of Crotalidae polyvalent immune Fab (ovine) were commonly used and were not associated with worse clinical outcomes or frequent antivenom redosing.
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In this retrospective cohort study of acute paraquat poisoned patients, a composite index using routine blood and urine tests at admission was found to have strong predictive performances (when score was ≥5, probability of predictive mortality was 94%).
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November 4, 2025 at 6:03 PM
In this retrospective cohort study of acute paraquat poisoned patients, a composite index using routine blood and urine tests at admission was found to have strong predictive performances (when score was ≥5, probability of predictive mortality was 94%).
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In this case series, 22 patients with severe methanol poisoning treated with oral ethanol and hemodialysis all survived
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November 4, 2025 at 6:02 PM
In this case series, 22 patients with severe methanol poisoning treated with oral ethanol and hemodialysis all survived
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In this prospective observational study, schistocytes on peripheral blood smear was strongly associated with acute kidney injury and prolonged hospitalization in snakebite patients.
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November 4, 2025 at 6:01 PM
In this prospective observational study, schistocytes on peripheral blood smear was strongly associated with acute kidney injury and prolonged hospitalization in snakebite patients.
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In this cross-sectional laboratory study of urine-drug screens, the number of xylazine-positive and fentanyl-positive urine tests were found to have increased over time, even as concentrations of urine xylazine and fentanyl have declined.
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November 4, 2025 at 6:00 PM
In this cross-sectional laboratory study of urine-drug screens, the number of xylazine-positive and fentanyl-positive urine tests were found to have increased over time, even as concentrations of urine xylazine and fentanyl have declined.
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In a review of 8 randomized controlled trials, IV magnesium sulfate in organophosphate poisoning was linked to lower mortality and reduced atropine use.
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November 4, 2025 at 5:59 PM
In a review of 8 randomized controlled trials, IV magnesium sulfate in organophosphate poisoning was linked to lower mortality and reduced atropine use.
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In this retrospective review of cases where patients received flumazenil, seizures occurred in only a small amount (2.6%) of patients
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September 16, 2025 at 9:04 PM
In this retrospective review of cases where patients received flumazenil, seizures occurred in only a small amount (2.6%) of patients
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In this retrospective review of 50,323 unintentional mushroom exposures in children ≤5 years, major outcomes were quite rare
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September 16, 2025 at 9:01 PM
In this retrospective review of 50,323 unintentional mushroom exposures in children ≤5 years, major outcomes were quite rare
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In this retrospective study of 64 cases of adverse effects from consumed liquorice, liquorice-related effects were found to be rare but had high severity.
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September 16, 2025 at 8:58 PM
In this retrospective study of 64 cases of adverse effects from consumed liquorice, liquorice-related effects were found to be rare but had high severity.
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In this study of nearly 31,000 pediatric single-substance exposures associated with seizures, cases nearly doubled from 2009 to 2023. The major contributors to this were diphenhydramine and bupropion.
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September 16, 2025 at 8:50 PM
In this study of nearly 31,000 pediatric single-substance exposures associated with seizures, cases nearly doubled from 2009 to 2023. The major contributors to this were diphenhydramine and bupropion.
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In this 25-year retrospective review of 41 amlodipine overdose cases, patients with ingestions ≥400 mg were at high risk for refractory shock.
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September 16, 2025 at 8:48 PM
In this 25-year retrospective review of 41 amlodipine overdose cases, patients with ingestions ≥400 mg were at high risk for refractory shock.
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In this retrospective study of emergency department encounters, droperidol use in patients with cannabinoid hyperemesis syndrome was associated with shorter length of stay, decreased total medication needs, and less opioid use.
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September 16, 2025 at 8:46 PM
In this retrospective study of emergency department encounters, droperidol use in patients with cannabinoid hyperemesis syndrome was associated with shorter length of stay, decreased total medication needs, and less opioid use.
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In this retrospective study, rising recreational ketamine use was paralleled by a rise in ketamine-induced uropathy, with some patients even requiring surgery.
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September 16, 2025 at 8:43 PM
In this retrospective study, rising recreational ketamine use was paralleled by a rise in ketamine-induced uropathy, with some patients even requiring surgery.
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In this retrospective study of 276 children with poisoning-related neurological features, altered consciousness was the most commonly reported symptom. Non-neurological factors such as suicidal intent were found to be important in hospitalization decisions.
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September 16, 2025 at 8:41 PM
In this retrospective study of 276 children with poisoning-related neurological features, altered consciousness was the most commonly reported symptom. Non-neurological factors such as suicidal intent were found to be important in hospitalization decisions.
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In this case series of 275 patients presenting to clinical toxicology units, seizures were most common after tramadol, 3,4-methylenedioxymetamfetamine, quetiapine and cocaine. Seizure recurrence happened in 20% of patients.
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September 16, 2025 at 8:39 PM
In this case series of 275 patients presenting to clinical toxicology units, seizures were most common after tramadol, 3,4-methylenedioxymetamfetamine, quetiapine and cocaine. Seizure recurrence happened in 20% of patients.
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Report: Unregulated street vendors in New York City are selling packages containing 80% zinc phosphide www.tandfonline.com/doi/full/10....
September 8, 2025 at 6:07 PM
Report: Unregulated street vendors in New York City are selling packages containing 80% zinc phosphide www.tandfonline.com/doi/full/10....