Evidence map›Paper›PMID 40686917›Full record

ArticleCase reports in pediatrics2025

Accidental Methadone Toxicity in a 3-Year-Old Leading to Severe Cerebellitis and Death: A Case Report.

Jessie Pappin, Greg Hansen, Tanya Holt

Abstract readCase Reports
In one paragraph

Article in Case reports in pediatrics, 2025. 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
–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

0 citing papers in PubMed.

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

3 authors.

Jessie PappinDepartment of Pediatrics, University of Saskatchewan, Saskatoon, Canada.ORCID https://orcid.org/0009-0007-5241-7923
Greg HansenDepartment of Pediatric Critical Care, University of Saskatchewan, Saskatoon, Canada.
Tanya HoltDepartment of Pediatric Critical Care, University of Saskatchewan, Saskatoon, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Methadone is a synthetic opioid used to treat pain and opioid dependence. Despite its benefits, accidental ingestion of methadone in pediatric patients can lead to significant morbidity and mortality. Documented findings of acute toxicity secondary to methadone ingestion in children include leukoencephalopathy and cerebellitis. There is limited research into treatment and factors influencing clinical outcomes following methadone overdose in children. We report a 3-year-old child with severe brain injury and death following accidental ingestion of methadone. Our case is unique in that we were able to acquire a serum methadone level following ingestion, which was used to guide intervention and treatments. Using this case, we aim to contribute to the growing understanding of methadone toxicity while also advocating for the implementation of policies that protect our pediatric population.

Indexed as

cerebellitisleukoencephalopathymethadoneoverdose

Identifiers

PMID40686917
PMCPMC12271709

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.