Evidence map›Paper›PMID 37885923›Full record

ArticleToxicology reports2023

Laurel but Hardy: unintended poisoning, a case report of oleander misidentification as bay laurel.

Giovanni Mantelli, Massimo Carollo, Lorenzo Losso, Ilaria Costantini, Elia Morando, Matilde Bacchion, Mauro Pizzuto, Letizia Spagnuolo, Giorgio Ricci

Open access · goldAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Toxicology reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.3field-weighted citation impact, top 36% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

9 authors at 3 institutions in 1 country.

Giovanni MantelliUSD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, Italy.
Massimo CarolloDepartment of Diagnostics and Public Health, University of Verona, Verona, Italy.
Lorenzo LossoDepartment of Medical Toxicology Unit and Poison Control Centre, University of Florence, Florence, Italy.
Ilaria CostantiniUSD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, Italy.
Elia MorandoUSD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, Italy.
Matilde BacchionUSD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, Italy.
Mauro PizzutoDepartment of Medicine, University of Verona, Verona, Italy.
Letizia SpagnuoloDepartment of Medicine, University of Verona, Verona, Italy.
Giorgio RicciUSD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, Italy.
Azienda Ospedaliera Universitaria Integrata Verona · ITUniversity of Verona · ITUniversity of Florence · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Case report: An 84-year-old patient consumed an oleander leaves infusion, and after four hours experienced gastrointestinal symptoms. He contacted the poison control center (PCC) and was advised to go to the emergency department (ED). Upon arrival, the patient presented stable vital signs without cardiac irregularities. The PCC recommended the administration of activated charcoal, vigilant monitoring, including electrocardiography (ECG). Subsequent ECGs assessments revealed the presence of third-degree atrioventricular block; in consultation with the PCC, digoxin-specific antibodies and external pacing were necessary. The patient was discharged on the eighth day in good hemodynamic condition, and outpatient follow-up visits showed clinical stability. Discussion: This study offers insights for the management of similar cases. The limitations of conventional assays in measuring oleander cardiac glycosides were observed, emphasizing reliance on clinical evaluation. The patient's trajectory, remaining asymptomatic despite severe ECG changes post-ingestion, underscores the importance of prolonged clinical monitoring.

Indexed as

Bay laurelCardiac glycosidesClinical monitoringDigoxinElectrocardiographyIntoxicationNeriumNerium oleanderPlant intoxicationPlant poisoningPoison Control CentersPoison Control Centers.Poisoning

Identifiers

PMID37885923
PMCPMC10598396
OpenAlexW4387844314

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.