Evidence map›Paper›PMID 42519821›Full record

ArticleToxicology reports2026

Pain in the acephate: A case of protracted toxicity after an intentional ingestion of ant killer.

Max Trojano, Matthew Lippi, Solana Archuleta, Leanne Cook, Daniel Lasoff, Alicia Minns

Abstract readCase Reports
In one paragraph

Article in Toxicology reports, 2026. 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

6 authors.

Max TrojanoUniversity of California San Diego Health, Department of Emergency Medicine, Division of Medical Toxicology, 200 West Arbor Drive, San Diego, CA 92013, United States.
Matthew LippiUniversity of California San Diego Health, Department of Emergency Medicine, Division of Medical Toxicology, 200 West Arbor Drive, San Diego, CA 92013, United States.
Solana ArchuletaUniversity of California San Diego Health, Department of Emergency Medicine, Division of Medical Toxicology, 200 West Arbor Drive, San Diego, CA 92013, United States.
Leanne CookUniversity of California San Diego Health, Department of Emergency Medicine, Division of Medical Toxicology, 200 West Arbor Drive, San Diego, CA 92013, United States.
Daniel LasoffUniversity of California San Diego Health, Department of Emergency Medicine, Division of Medical Toxicology, 200 West Arbor Drive, San Diego, CA 92013, United States.
Alicia MinnsUniversity of California San Diego Health, Department of Emergency Medicine, Division of Medical Toxicology, 200 West Arbor Drive, San Diego, CA 92013, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Organophosphates (OP) have a variety of applications, including widespread use as pesticides. Although OP poisoning in the U.S. has been declining, toxicity from intentional ingestions of commercially available preparations is still a concern. We describe a case of a 17-year-old female who intentionally ingested an acephate-based fire ant insecticide and developed severe cholinergic toxicity, despite acephate's classification as a safer OP. The patient was successfully treated with atropine and pralidoxime, but had recurrence of symptoms after long asymptomatic periods requiring repeat dosing, which is atypical. We encourage clinicians to have a low threshold for prolonged observation in these patients, even in the absence of symptoms.

Indexed as

AcephateAtropineInsecticideOrganophosphatePralidoxime

Identifiers

PMID42519821
PMCPMC13382086

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.