ArticleBMJ case reports2026
Fulminant multi-organ failure associated with cereulide-producing
Article in BMJ case 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.
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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.
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Abstract
A male in his 20s with no medical history was found with generalised seizures and profound hypoglycaemia after consuming improperly stored, reheated rice.Initial laboratory tests showed acute liver failure with hyperammonaemia, acute kidney injury and lactic acidosis, which rapidly progressed to multi-organ failure requiring urgent liver transplantation evaluation.With maximal supportive therapy, including glucose, ammonia and glutamine scavengers, renal replacement therapy, haemodynamic and respiratory support, he gradually improved, avoiding transplantation and achieving full neurological recovery. Toxicological analysis of the rice and serum revealed high concentrations of cereulide, a toxin produced by
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