Evidence map›Paper›PMID 39897392›Full record

ArticleToxicology reports2025

Valproic acid intoxication - The importance of toxicological analysis and correct management: A case report.

André Valle de Bairros, Karol Andriely de Vargas Paier, Leonardo Corrêa Cardoso, Fernanda Ziegler Reginato, Gustavo Andrade Ugalde, Ivy Bauer Lovatel, Miguel Roehrs

Abstract readCase Reports
In one paragraph

Article in Toxicology reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

André Valle de BairrosNucleus Applied to Toxicology, Federal University of Santa Maria, Santa Maria, Brazil.
Karol Andriely de Vargas PaierNucleus Applied to Toxicology, Federal University of Santa Maria, Santa Maria, Brazil.
Leonardo Corrêa CardosoNucleus Applied to Toxicology, Federal University of Santa Maria, Santa Maria, Brazil.
Fernanda Ziegler ReginatoNucleus Applied to Toxicology, Federal University of Santa Maria, Santa Maria, Brazil.
Gustavo Andrade UgaldeNucleus Applied to Toxicology, Federal University of Santa Maria, Santa Maria, Brazil.
Ivy Bauer LovatelUniversity Hospital of Santa Maria, Federal University of Santa Maria, Santa Maria, Brazil.
Miguel RoehrsLaboratory of Clinical Analysis, University Hospital of Santa Maria, Federal University of Santa Maria, Santa Maria, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Valproic acid (VPA) is an anticonvulsant widely used in treating epilepsy which can occur cases of poisoning in overdose situations. Case description: A 15-year-old girl purposely ingested about 100 drug tablets according to family members. Gastric lavage with activated charcoal was performed at home using a nasogastric tube and patient just was taken to the hospital around 10 h after drug ingestion, arriving in shock state. All laboratorial parameters were altered together a suspect of aspiration pneumonia with the presence of gross perihilar infiltrated in the right lung. Immunoassay screening test did not detect any substance; LC-UV detected quetiapine (> 150 ng/mL) while GC-MS determined 977.96 µg/mL of valproic acid in the patient's plasma, confirming valproic acid intoxication. Appropriate life support was performed in the patient during hospitalization; however, she died two days later, reaching her suicide. Conclusions: Prognosis could be favorable if the patient was taken immediately to hospital emergency, considering the complexity of managing poisoning. Patient´s anamnesis must be carefully analyzed by the healthcare professional to avoid false conclusions and toxicological analysis is extremely important to clarify suspected poisoning.

Indexed as

AnamnesisPoisoning managementToxicological analysisValproic acid

Identifiers

PMID39897392
PMCPMC11787603

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