Evidence map›Paper›PMID 24522983›Full record

ArticleJournal of medical toxicology : official journal of the American College of Medical Toxicology2014

A case of abrin toxin poisoning, confirmed via quantitation of L-abrine (N-methyl-L-tryptophan) biomarker.

Joe Valentine Wooten, Christopher T Pittman, Thomas A Blake, Jerry D Thomas, John J Devlin, Renee A Higgerson, Rudolph C Johnson

Open access · greenAbstract readCase Reports
In one paragraph

Article in Journal of medical toxicology : official journal of the American College of Medical Toxicology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.9field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. MALDI MS Imaging of Chickpea Seeds (Analytical chemistry · 2023
    Article
  3. Article
  4. Acute disseminated encephalomyelitis due to abrus precatorius poisoning - A case report.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2019
    Article
  5. Article
  6. Detection of α-, β-, and γ-amanitin in urine by LC-MS/MS usingToxicon : official journal of the International Society on Toxinology · 2018
    Article
  7. Article
  8. Article
  9. Abrin poisoning in an 18-month-old child.The American journal of case reports · 2015
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Joe Valentine WootenNational Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, GA, USA, jvw2@cdc.gov.
Christopher T Pittman
Thomas A Blake
Jerry D Thomas
John J Devlin
Renee A Higgerson
Rudolph C Johnson
Centers for Disease Control and Prevention · USDell Children's Medical Center of Central Texas · USNational Center for Environmental Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe seeds of Abrus precatorius contain the highly toxic plant protein abrin. There is no antidote for abrin poisoning. Management, largely supportive, may consist of administering intravenous fluids, anti-emetics, and activated charcoal depending on the time of exposure. We report the presentation of a single case of unintentional abrin poisoning confirmed by the quantitation of L-abrine biomarker. CASE REPORT: A previously healthy 22-month-old, 11.5-kg female presented to the hospital after ingesting approximately 20 rosary peas (A. precatorius) sold as a "peace bracelet". Her primary manifestations were episodes of forceful emesis that included food particles progressing to clear gastric fluid. The patient was tachycardic (HR = 134 bpm) but had brisk capillary refill and normal blood pressure (96/60 mmHg). Laboratory testing revealed elevated blood urea nitrogen (16 mg/dL) and serum creatinine (0.4 mg/dL). In the emergency department, the patient was resuscitated with 40 mL/kg normal saline via peripheral IV and received ondansetron (0.15 mg/kg IV) to control retching. The patient was discharged well 24 h after the ingestion. DISCUSSION: This is the first case of human abrin toxin poisoning confirmed by the quantitation of L-abrine as a biomarker. Quantifying the levels of abrin toxin in the body after exposure can help clinicians make informed decisions when managing patients with symptomatic exposures to seeds of A. precatorius.

Indexed as

AbrinBiomarkersFemaleHumansIndole AlkaloidsInfantAbrinabrineBiomarkersIndole Alkaloids

Identifiers

PMID24522983
PMCPMC4252293
OpenAlexW2014082436

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.