Evidence map›Paper›PMID 41049219›Full record

ArticleClinical case reports2025

Severe Hyponatremia and Syndrome of Inappropriate Antidiuretic Hormone Secretion After Kambô Ritual.

Thomas Kelly, Angela Saponaro, James Longenbach, Tomer Finkelberg, Christine Giesa, Eric Kleiman, Hyra Syed, Pierre Frederique, Richard J Hamilton

Abstract read
In one paragraph

Article in Clinical case 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

9 authors.

Thomas KellyDepartment of Medicine Crozer Chester Medical Center Upland Pennsylvania USA.
Angela SaponaroDepartment of Emergency Medicine Crozer Chester Medical Center Upland Pennsylvania USA.
James LongenbachDepartment of Emergency Medicine Drexel University College of Medicine Philadelphia Pennsylvania USA.
Tomer FinkelbergDepartment of Emergency Medicine Drexel University College of Medicine Philadelphia Pennsylvania USA.
Christine GiesaPhiladelphia College of Osteopathic Medicine Philadelphia Pennsylvania USA.
Eric KleimanDepartment of Medicine Crozer Chester Medical Center Upland Pennsylvania USA.
Hyra SyedDepartment of Medicine Crozer Chester Medical Center Upland Pennsylvania USA.
Pierre FrederiqueDepartment of Medicine Crozer Chester Medical Center Upland Pennsylvania USA.
Richard J HamiltonDepartment of Emergency Medicine Drexel University College of Medicine Philadelphia Pennsylvania USA.ORCID https://orcid.org/0000-0002-3606-5389

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Kambô poisoning can cause severe hyponatremia, neurologic effects, and gastrointestinal symptoms. Clinicians need to determine whether the derangements are the result of ritualistic consumption of water or toxin-induced syndrome of inappropriate antidiuretic hormone secretion (SIADH). An appropriate workup for SIADH guides electrolyte correction and leads to resolution of neurologic and systemic effects.

Indexed as

electrolyte disturbanceshyponatremiaKambô poisoningpeptide toxicitySIADH

Identifiers

PMID41049219
PMCPMC12495265

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.