Evidence map›Paper›PMID 41293559›Full record

ArticleCase reports in hematology2025

Superwarfarin Rodenticide Poisoning due to Consumption of Exotic Animals: A Case Report.

Batoul Sadek, Cassandra Dasmarinas, Ishita Patel, Lynda Bowman, Peter Xie, Eric Irons, Albert Jang

Abstract readCase Reports
In one paragraph

Article in Case reports in hematology, 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

7 authors.

Batoul SadekDepartment of Internal Medicine-Pediatrics, Case Western University, Cleveland, Ohio, USA.ORCID https://orcid.org/0009-0005-0476-2103
Cassandra DasmarinasDepartment of Internal Medicine, Case Western University, Cleveland, Ohio, USA.ORCID https://orcid.org/0009-0007-6242-6241
Ishita PatelDepartment of Internal Medicine-Pediatrics, Case Western University, Cleveland, Ohio, USA.ORCID https://orcid.org/0009-0000-8849-3441
Lynda BowmanDepartment of Pathology, MetroHealth Hospital, Case Western University, Cleveland, Ohio, USA.ORCID https://orcid.org/0009-0006-2485-8118
Peter XieDivision of Hematology/Oncology, MetroHealth System, Case Western Reserve University, Cleveland, Ohio, USA.ORCID https://orcid.org/0000-0002-1635-5856
Eric IronsDivisions of Hematology and Solid Tumor Oncology, Department of Medicine, University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.ORCID https://orcid.org/0000-0002-2282-5244
Albert JangDivisions of Hematology and Solid Tumor Oncology, Department of Medicine, University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.ORCID https://orcid.org/0000-0002-0461-6174

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Poisoning from superwarfarin rodenticides should be considered in patients with unexplained bleeding due to vitamin K deficiency, with no other history of coagulopathy or anticoagulant use. A 37-year-old man originally presented to our hospital with two weeks of oral bleeding and two days of hematuria of unknown etiology. Workup showed severely prolonged prothrombin time and extremely low activity of coagulation factors II, VII, IX, and X, raising suspicion for vitamin K deficiency. His coagulation studies gradually corrected after daily administration of high-dose intravenous vitamin K. An anticoagulant poisoning panel ultimately revealed high levels of brodifacoum rodenticide-likely from rodent meat ingestion during his vacation to China 2 months before. Our case highlights the importance of a thorough social and toxicologic investigation in patients with unexplained coagulopathy consistent with significant vitamin K deficiency.

Indexed as

case reportrodenticidesuperwarfarinvitamin K

Identifiers

PMID41293559
PMCPMC12643702

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