Mushroom for Improvement Case Report: The Importance of Involving Mycologists.

Unlabelled: A case of acute cholecystitis following giant puffball mushroom ingestion is described. A 64-year-old male ingested what was presumed to be a puffball mushroom, developed epigastric pain several hours later, and went to the emergency department. Patient blood work yielded elevated liver enzymes and bilirubin levels, with no change in coagulation studies.

Acute Pediatric Liquid Nicotine Ingestions.

Electronic cigarette and vaping device use in the household represents a possible source of unintentional nicotine exposure to pediatric patients. Although most ingestions of nicotine may be mild, there is a potential for significant toxicity. Nicotine toxicity can present similarly to many other types of ingestions, which makes the history an important piece of the encounter.

Pediatric Edible Cannabis Exposures and Acute Toxicity: 2017-2021.

Objectives: This study evaluates trends in pediatric cannabis edible ingestions in children younger than age 6 years with regard to toxicity, medical outcome, and health care utilization for the years 2017-2021.

Methods: We performed retrospective analysis of the National Poison Data System data for pediatric exposures to edible cannabis products in children <6 years from 2017 to 2021. Data were analyzed quantitatively with a focus on incidence, common clinical effects, medical outcomes, health care utilization, and changes in acute toxicity between the pre-COVID years (2017-2019) to the COVID years (2020-2021).

Predictors of severe outcome following opioid intoxication in children.

Introduction: While the opioid crisis has claimed the lives of nearly 500,000 in the U.S. over the past two decades, and pediatric cases of opioid intoxications are increasing, only sparse data exist regarding risk factors for severe outcome in children following an opioid intoxication.

Rising incidence and high mortality in intentional sodium nitrite exposures reported to US poison centers.

Introduction: Sodium nitrite is an oxidizing agent capable of producing profound methemoglobinemia. Large quantities of sodium nitrite can be purchased online, and recent literature has identified several cases of intentional self-poisoning, including multiple cases of mortality. This has raised concern that intentional sodium nitrite poisoning and resultant severe methemoglobinemia may be increasing in incidence and could represent a substantial public health threat.