Evidence map›Paper›PMID 25605411›Full record

ArticleWiener medizinische Wochenschrift (1946)2015

Severe cyanide poisoning from an alternative medicine treatment with amygdalin and apricot kernels in a 4-year-old child.

Harald Sauer, Caroline Wollny, Isabel Oster, Erol Tutdibi, Ludwig Gortner, Sven Gottschling, Sascha Meyer

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Wiener medizinische Wochenschrift (1946), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
8.3field-weighted citation impact, top 3% 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

13 citing papers in PubMed, 58 citations in OpenAlex.

  1. Review
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  9. Article
  10. Article
  11. Antidotal Effects of the Phenothiazine Chromophore Methylene Blue Following Cyanide Intoxication.Toxicological sciences : an official journal of the Society of Toxicology · 2019
    Article
  12. Review
  13. Plant toxins and acute medicinal plant poisoning in children: A systematic literature review.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2018
    Review
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 1 institution in 1 country.

Harald SauerDepartment of Pediatric Intensive Care Medicine, University Children's Hospital of Saarland, Building 9, 66421, Homburg, Germany, harald.sauer@uks.eu.
Caroline Wollny
Isabel Oster
Erol Tutdibi
Ludwig Gortner
Sven Gottschling
Sascha Meyer
Saarland University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of complementary and alternative medicine (CAM) is widespread in children with cancer and is poorly regulated. PATIENTS AND

methodsCase report.

resultsWe describe a case of severe cyanide poisoning arising from CAM use. A severely agitated, encephalopathic, unresponsive 4-year-old boy (initial Glasgow Coma Scale of 3) with a history of metastatic ependymoma was brought to our emergency department by ambulance services. Initial blood gas analysis demonstrated severe metabolic/lactic acidosis. On detailed questioning of the parents, the use of CAM including intravenous and oral "vitamin B 17" (amygdalin) and oral apricot kernel was reported. After administering sodium thiosulfate, rapid improvement in his medical condition with complete recovery without need for further intensive care treatment was seen. Serum cyanide level was markedly elevated.

conclusionsCyanide poisoning can be the cause of severe encephalopathy in children receiving CAM treatment with substances containing cyanogenic glycosides.

Indexed as

Administration, IntravenousAdministration, OralAmygdalinBrain DiseasesBrain NeoplasmsChild, PreschoolComplementary TherapiesCyanidesEpendymomaHumansIatrogenic DiseaseMaleNitrilesPhytotherapyPrunus armeniacaSeedsAmygdalinCyanidesNitrilesprunasinsodium thiosulfateThiosulfates

Identifiers

PMID25605411
OpenAlexW123307126

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.