Evidence map›Paper›PMID 28265441›Full record

ReviewDisaster and military medicine2016

Toxins as biological weapons for terror-characteristics, challenges and medical countermeasures: a mini-review.

Tamar Berger, Arik Eisenkraft, Erez Bar-Haim, Michael Kassirer, Adi Avniel Aran, Itay Fogel

Abstract readReview
In one paragraph

Review in Disaster and military medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
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

19 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Pathogens (Basel, Switzerland) · 2021
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Renal Failure Patients in Disasters.Disaster medicine and public health preparedness · 2019
    Article
  16. Review
  17. Biological Toxins as the Potential Tools for Bioterrorism.International journal of molecular sciences · 2019
    Review
  18. Article
  19. 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

6 authors.

Tamar BergerSurgeon General Headquarters, IDF Medical Corps, Tel Hashomer, Israel ; Department of Internal Medicine, Rabin Medical Center, Petah Tikva, Israel.
Arik EisenkraftSurgeon General Headquarters, IDF Medical Corps, Tel Hashomer, Israel ; Institute for Research in Military Medicine, Faculty of Medicine, The Hebrew University, Jerusalem, Israel ; NBC Protection Division, IMOD, Tel-Aviv, Israel.
Erez Bar-HaimDepartment of Biochemistry and Molecular Genetics, Israel Institute for Biological Research, Ness Ziona, Israel.
Michael KassirerSurgeon General Headquarters, IDF Medical Corps, Tel Hashomer, Israel.
Adi Avniel AranSurgeon General Headquarters, IDF Medical Corps, Tel Hashomer, Israel ; Pediatric Critical Care Unit, Children's Hospital, Montefiore Medical Center, Bronx, NY USA.
Itay FogelSurgeon General Headquarters, IDF Medical Corps, Tel Hashomer, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Toxins are hazardous biochemical compounds derived from bacteria, fungi, or plants. Some have mechanisms of action and physical properties that make them amenable for use as potential warfare agents. Currently, some toxins are classified as potential biological weapons, although they have several differences from classic living bio-terror pathogens and some similarities to manmade chemical warfare agents. This review focuses on category A and B bio-terror toxins recognized by the Centers for Disease Control and Prevention: Botulinum neurotoxin, staphylococcal enterotoxin B, Clostridium perfringens epsilon toxin, and ricin. Their derivation, pathogenesis, mechanism of action, associated clinical signs and symptoms, diagnosis, and treatment are discussed in detail. Given their expected covert use, the primary diagnostic challenge in toxin exposure is the early detection of morbidity clusters, apart from background morbidity, after a relatively short incubation period. For this reason, it is important that clinicians be familiar with the clinical manifestations of toxins and the appropriate methods of management and countermeasures.

Indexed as

BioterrorBotulinum neurotoxinClostridium perfringens epsilon toxinMedical countermeasuresRicinStaphylococcal enterotoxin BToxins

Identifiers

PMID28265441
PMCPMC5330008

What OpenQuestion holds

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Registered trials

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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.