Evidence map›Paper›PMID 33614047›Full record

ArticleOxford medical case reports2021

Severe methemoglobinemia secondary to isobutyl nitrite toxicity: the case of the 'Gold Rush'.

Gregory M Taylor, Robert S Avera, Christian C Strachan, Christian M Briggs, Jason P Medler, Carl M Pafford, Timothy B Gant

Open access · goldAbstract readCase Reports
In one paragraph

Article in Oxford medical case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

5 citing papers in PubMed, 14 citations in OpenAlex.

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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 2 institutions in 1 country.

Gregory M TaylorAssistant Professor of Clinical Emergency Medicine, Indiana University School of Medicine; IU Health Ball Memorial Hospital, Muncie, IN, USA.ORCID 0000-0002-1711-1140
Robert S AveraToxicology Fellow, Indiana University School of Medicine, Indianapolis, IN, USA.
Christian C StrachanExecutive Vice Chair of Clinical Affairs, Assistant Professor of Clinical Emergency Medicine, Indiana University School of Medicine; East Central Region Emergency Department Medical Director, Indianapolis, IN, USA.
Christian M BriggsResident, Indiana University School of Medicine; IU Health Ball Memorial Hospital, Muncie, IN, USA.
Jason P MedlerAssistant Professor of Clinical Emergency Medicine, Indiana University School of Medicine; IU Health Ball Memorial Hospital, Muncie, IN, USA.
Carl M PaffordAssistant Professor of Clinical Emergency Medicine, Indiana University School of Medicine; IU Health Ball Memorial Hospital, Muncie, IN, USA.
Timothy B GantEmergency Department Nurse; IU Health Ball Memorial Hospital, Muncie, IN, USA.
Indiana University Health · USIndiana University School of Medicine

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Isobutyl nitrite is one of the popular recreational drugs with high abuse potential that is known to cause methemoglobinemia. While inhaling this recreational drug, often referred to as a 'popper', is the typical route of administration, oral ingestion can produce a more rapid and fulminant course of methemoglobinemia. We present the case of a 69-year-old male that presented to our emergency department in extreme, life-threatening methemoglobinemia due to the ingestion of isobutyl nitrite that he obtained from an adult novelty store. The patient had a methemoglobin level above our lab cut-off of 28% and was subsequently treated with two doses of intravenous methylene blue. His hospital course was unremarkable, and he was discharged on Day 2. Methemoglobinemia is a medical emergency that requires a high index of clinical suspicion, prompt recognition, and rapid treatment.

Identifiers

PMID33614047
PMCPMC7885148
OpenAlexW3132727390

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.