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Welcome to the Internet of Medical Toxicology Archives

In 1998, ACMT began publishing the The Internet Journal of Medical Toxicology (IJMT). Under Editor-in-Chief, Keith Burkhart, MD, FACMT, IJMT was published for seven years, ending publication in 2004 at which time the print Journal of Medical Toxicology was founded.

IJMT was an effort by ACMT to combine many of the advantages of an on-line journal and a discussion group. When founded, IJMT didn't initially publish original research. Instead, IJMT published editorials, clinical case conferences, news and other items that deal with important, difficult, or controversial topics in Medical Toxicology for the specific purpose of generating a discussion. Over the ensuring years submission of original research was encouraged. 

The entire archive is below. Feel free to scroll down or click the hyperlink to the specific year of publication.  

1998   |   1999   |   2000   |   2001   |   2002   |   2003  |   2004 

 

1998: Vol 1

 
Issue #1

EDITORIALS

A New Kind of Journal


Paul Pentel
              

Int J Med Toxicol 1998; 1(1): 1

Antidotes and Alcohols: Has Fomepizole Made Ethanol an Obsolete Therapy?

Jeffrey Brent


Int J Med Toxicol 1998; 1(1): 2

 

CASE CONFERENCES

Unconscious Museum Worker

Case Presentation

Robert Hoffman


Int J Med Toxicol 1998; 1(1): 3

Case Discussion

Paul Wax


Int J Med Toxicol 1998; 1(1): 4

 

CLINICAL PROBLEM SOLVING

Clinical Problem Solving

Foot Ulcer

John Cienki, Richard Weisman


Int J Med Toxicol 1998; 1(1): 5

 

Issue #2

EDITORIALS

Alternative Medicines

Thomas Kearney


The risks posed by alternative medicines and the need for regultory oversight are discussed.


Int J Med Toxicol 1998; 1(2): 11

Dietary Supplements

Susan Smolinski

The strengths and weakness of existing oversight mechanisms are described, along with suggestions for improved approaches.


Int J Med Toxicol 1998; 1(2): 12

 

CASE CONFERENCES

NEW CASE
: An 11-year-old boy develops vomiting, weakness, weight loss and a neck mass.
Case Presentation

Fred Henretig


Int J Med Toxicol 1998; 1(2): 13

Differential Diagnosis and Evaluation

Michael Shannon


Int J Med Toxicol 1998; 1(2): 14

Further History

Fred Henretig 


Int J Med Toxicol 1998; 1(2): 15

 

PREVIOUS CASE:


Unconscious Museum Worker – Further History

Francis DeRoos, Ed Boyer


Int J Med Toxicol 1998; 1(2): 16

 

CLINICAL PROBLEM SOLVING: NEW CASE:


An Adult Male with Neck Discomfort

Robert Hoffman


Int J Med Toxicol 1998; 1(2): 17

 

PREVIOUS CASE:


Chrome Ulcers - Discussion

John Cienki


Int J Med Toxicol 1998; 1(2): 18

 

Issue #3

EDITORIAL

Toxicity after Repeated Acetaminophen Doses in Adults

Martin Smilkstein


Hepatotoxicity resulting from chronic therapeutic use of acetaminophen is discussed with regard to its incidence, populations at special risk, diagnosis, and management. Dosing recommendations and areas in need of further investigation are addressed.


Int J Med Toxicol 1998; 1(3): 19

 

Issue #4

CLINICAL PROBLEM SOLVING  

PREVIOUS CASE


Adult Male With Neck Discomfort - Discussion

Robert Hoffman


Int J Med Toxicol 1998; 1(4): 20

 

ACMT NEWS

ACMT Position Statement on Material Safety Data Sheets

Keith Burkhart, MD


Int J Med Toxicol 1998; 1(4): 21

 

SPECIAL ARTICLE

1998 Matthew Ellenhorn Award Lecture:

Medical Toxicology: Past, Present, Future: A Very Personal Overview


Lewis R. Goldfrank


Int J Med Toxicol 1998; 1(4): 22

 

Issue #5

EDITORIAL  

Are We Ready to Utilize Insulin-Glucose as Routine Therapy for Calcium Channel Blocker Toxicity?

Russ Kerns, MD


Int J Med Toxicol 1998; 1(5): 23

 

1999: Vol 2

Issue #1

CASE CONFERENCES 

Snakebite in Central Park?

Case Presentation
Ruben Olmedo, MD


Int J Med Toxicol 1999; 2(1): 1

 

Case Discussion
Richard Dart, MD


Int J Med Toxicol 1999; 2(1): 1

 

Issue #2

CASE CONFERENCES 

NEW CASE: 29 year-old male attempts suicide by amitriptyline overdose.

Case Presentation

In-Hei Hahn, MD


Int J Med Toxicol 1999; 2(2): 2

 

EDITORIAL

What is the Correct Dose of Bicarbonate?

Paul Pentel, MD


Int J Med Toxicol 1999; 2(2): 3

 

Issue #3

LETTER TO THE EDITOR 

Recurrent Seizures from Sustained-Release Bupropion

Todd Sigg, Pharm.D., CSPI


Int J Med Toxicol 1999; 2(3): 4

 

Editor's Comments
The Importance of Gastrointestinal Decontamination


Robert S. Hoffman, MD


Int J Med Toxicol 1999; 2(3): 5

 

 

2000: Vol 3

Issue #1

CASE REPORT

Butanediol Toxicity Delayed by Preingestion of Ethanol


Tanja Schneidereit, MD
Keith Burkhart, MD
J. Ward Donovan, MD


Int J Med Toxicol 2000; 3(1): 1

Editorial Comments
Butanediol and Ethanol: A Reverse Mickey Finn?

Lewis Nelson, M.D.


Int J Med Toxicol 2000; 3(1): 2

 

 

Issue #2

SPECIAL EDITION: MEDICATION ERRORS AND ADVERSE DRUG REACTIONS

SPECIAL ARTICLE

1999 Matthew Ellenhorn Award Lecture
Lessons from Medical Toxicology


William O. Robertson, MD


Int J Med Toxicol 2000; 3(2): 3

 

ORIGINAL CONTRIBUTION

Few NACCT Abstracts of Adverse Drug Reactions are Reported to MEDWATCH

Bruce Ruck, PharmD
Thelma Jennis MPH
Steven Marcus MD


Int J Med Toxicol 2000; 3(2): 4

 

CASE REPORTS

Dermal Application of Nitroglycerin Ointment in Place of Nystatin ® Ointment Results in Fatality

Karen R. Schlafer, Doctor of Pharmacy Candidate
Christine M. Stork, Pharm.D. ABAT


Int J Med Toxicol 2000; 3(2): 5

 

A Tetanus Look-alike Error

Anonymous


Int J Med Toxicol 2000; 3(2): 6

 

CELEXA® for CELEBREX®? A Case of Medication Sample Error

Bradley Moyer, MD
Walter Shrading, MD
Keith K. Burkhart, MD, FACMT


Int J Med Toxicol 2000; 3(2): 7

 

Therapeutic Dosing Error of Thioridazine by a Child’s Grandparent

Susan Smolinske, Pharm.D.
Amy Larson, M.D.


Int J Med Toxicol 2000; 3(2): 8

 

Nephrotoxic Interaction between Cyclosporine and Ciprofloxacin

Daisy Chung, PharmD
Jawaid Akhtar, MD


Int J Med Toxicol 2000; 3(2): 9

 

Ciprofloxacin-induced Dyskinesia

Keith K. Burkhart, MD, FACMT
Aimee Park, MD
J Ward Donovan, MD, FACMT


Int J Med Toxicol 2000; 3(2): 10

 

Issue #3

SPECIAL EDITION: CASE PRESENTATION COMPETITION

Disclaimer: While the cases presented here are all real, the actual events may have been slightly altered for educational purposes.

INTRODUCTION

1999 Case Presentation Competition
Lewis Nelson, MD

Int J Med Toxicol 2000; 3(3): 11

 

POSITION STATEMENT

Interpretation of Urine Analysis for Cocaine Metabolites

Introduction, Charles McKay, MD
Position Statement, American College of Medical Toxicology


Int J Med Toxicol 2000; 3(3): 24

 

Issue #4

EDITOR'S NOTE

A New Section: New Drug Approvals from a Toxicologist’s Viewpoint

Int J Med Toxicol 2000; 3(4): 25

 

NEW DRUG APPROVALS

The Pharmacology and Toxicology of Reboxetine
Michael J. Burns, MD


Int J Med Toxicol 2000; 3(4): 26

 

POSITION STATEMENT GUIDELINES

Internet Journal of Medical Toxicology

Int J Med Toxicol 2000; 3(4): 27

 

Issue #5

ORIGINAL CONTRIBUTION

7 Years of 3,4-Methylenedioxymethamphetamine (MDMA) Toxicity

Joseph G. Rella, MD
Lewis S. Nelson, MD
Robert S. Hoffman, MD


Int J Med Toxicol 2000; 3(5): 28

 

CASE CONFERENCE

Methylenedioxymethylamphetamine (MDMA) Induced Hyponatremia


Rob Sharma, MD
Lewis S. Nelson, MD


Int J Med Toxicol 2000; 3(5): 29

Evaluation of hyponatremia associated with use of Methylenedioxymethylamphetamine (MDMA)

Robert Zenenberg, DO
David S. Goldfarb, MD


Int J Med Toxicol 2000; 3(5): 30

 

ACMT NEWS

Ellenhorn Award - Introduction of Dr. Frederick Lovejoy

Michael Shannon, MD, MPH


Int J Med Toxicol 2000; 3(5): 31

Clinical Toxicology: Built Better Than They Knew
Reflections on Yesterday, Today, and Tomorrow

Frederick H. Lovejoy, Jr., MD


Int J Med Toxicol 2000; 3(5): 32

 

LETTER TO THE EDITOR

GHB Legislative Update

Patti Engel


Int J Med Toxicol 2000; 3(5): 33

 

2001: Vol 4

Issue #1

CASE REPORT

Unusual Presentation of Iatrogenic Phenytoin Toxicity in a Newborn


Jennifer A. Lowry, MD
John C. Vandover, MD
Jan DeGreeff, RN
Anthony J Scalzo, MD


Int J Med Toxicol 2001; 4(1): 1

 

LETTER TO THE EDITOR

Seizure Associated with Butanediol Ingestion


James Cisek


Int J Med Toxicol 2001; 4(1): 12

 

POSITION STATEMENT

Medication Errors and Adverse Drug Reactions or Events


Kenneth Kulig, MD


Int J Med Toxicol 2001; 4(1): 13

 

Issue #2

CASE REPORT

Massive Fat And Muscle Necrosis Following Self-Injection of Isopropoxyphenyl N-Methyl Carbamate (Propoxur)


Nitin Sethi
Munish K Sachdeva
Atul Kakar
Ashok Gupta


Int J Med Toxicol 2001; 4(2): 14

 

REVIEW

Wherefore Withdrawal?
The Science Behind Recent Drug Withdrawals and Warnings


Jeffrey Suchard, MD


Int J Med Toxicol 2001; 4(2): 15

 

The Pharmacology and Toxicology of Dofetilide


Edward W. Boyer, MD
Christine Stork, PharmD
Richard Y Wang, DO


Int J Med Toxicol 2001; 4(2): 16

 

POSITION STATEMENT

Care of Poisoned Patients


Thomas G. Martin, MD, MPH


Int J Med Toxicol 2001; 4(2): 17

 

Poison Information and Treatment Systems


American College of Emergency Physicians


Int J Med Toxicol 2001; 4(2): 18

 

REFERENCE

Centers for Poison Treatment

Int J Med Toxicol 2001; 4(2): 19

 

Issue #3

CASE REPORT

Pulmonary Interstitial Fibrosis Associated with Inhalation Exposure to Aviation Fuels


Charles A. McKay, MD
Katherine Hart, MD
Munawar Siddiqi, MBBS
Mary A. McCormick, PharmD
Marc J. Bayer, MD


Int J Med Toxicol 2001; 4(3): 20

 

Visual Toxicity in Acute Isoniazid Overdose


Paul R Lockman, RN, CSPI
Shu Shum, MD
David D. Allen, R.Ph, Ph.D.


Int J Med Toxicol 2001; 4(3): 21

 

POSITION STATEMENTS

The Role of a Medical Toxicologist for Assistance in the Treatment of Alcohol Withdrawal Syndrome

Int J Med Toxicol 2001; 4(3): 22

 

Medication Errors and Adverse Drug Reactions or Events

Int J Med Toxicol 2001; 4(3): 23

 

LETTER TO THE EDITOR

American Heart Association Guidelines for Resuscitation of the Poisoned Patient


Kennon Heard, MD
Norman A. Paradis
Richard C. Dart MD, PhD


Int J Med Toxicol 2001; 4(3): 24

 

Issue #4

NEW DRUG APPROVALS

The Pharmacology and Toxicology of Nateglinide
Michael Levine
Michael J. Burns, M.D.

Int J Med Toxicol 2001; 4(4): 25

 

CASE REPORT

Dispensing Error: Calcium-Channel Blocker Substituted for Neuroleptic


Bernhard K�hn, M.D.
Kirsten Bechtel, M.D.
Carl Baum, M.D., FAAP, ACMT


Int J Med Toxicol 2001; 4(4): 26

 

PHOTOGRAPHIC SUBMISSION

Caustic Ingestion of Hydrochloric Acid


Ferdinando L. Mirarchi, D.O.
Fred P. Harchelroad, Jr, M.D.


Int J Med Toxicol 2001; 4(4): 27

 

POSITION STATEMENTS

Dietary Supplements

Int J Med Toxicol 2001; 4(4): 28

 

Issue #5 

ORIGINAL CONTRIBUTION

A Study of Poisonings in Adults at the Poison Control Center in Loghman Hakeem Hospital, Tehran, Iran, from April 25, 2000 to April 25, 2001

Hassan Vatandoost, M.D., M.P.H.
Seyed Mostafa Mirakbari, M.D.
Dean Filandrinos, Pharm.D., M.S.


Int J Med Toxicol 2001; 4(5): 39

 

CASE REPORT

Pharyngeal Irritation After Eating Cooked Tarantula

Stephen J. Traub, MD
Robert S. Hoffman, MD
Lewis S. Nelson MD


Int J Med Toxicol 2001; 4(5): 40

 

BOOK REVIEW

Principles and Methods of Toxicology, Fourth Edition

Michael G. Holland, MD, FACMT, FACOEM, FACEP


Int J Med Toxicol 2001; 4(5): 41

 

 

2002: Vol 5

Issue #1

ORIGINAL CONTRIBUTION

Issues in the Management of Dietary Supplement Use Among Hospitalized Patients

Edward W. Boyer, MD


Int J Med Toxicol 2002; 5(1): 1

 

The Current Practice of Bedside Medical Toxicology in the United States

Charles A. McKay MD


Int J Med Toxicol 2002; 5(1): 2

 

Economics of Medical Toxicology Practice Based on Patient Scenarios

Paul Wax, MD


Int J Med Toxicol 2002; 5(1): 3

 

Is Medical Toxicology Becoming a Pastime?

Robert J. Hoffman, MD
Maria Y. Kwok, MD
Lewis S. Nelson, MD
Robert S. Hoffman, MD


Int J Med Toxicol 2002; 5(1): 4

 

Issue #2

SPECIAL ARTICLE

Barry Rumack - A Tribute

Frederick H. Lovejoy, Jr., M.D.


Clinical Toxicology, 40(1), 1-2 (2002)
Originally published in the Journal of Toxicology-Clinical Toxicology. Reproduced with permission.


Int J Med Toxicol 2002; 5(2): 5

2001 Matthew Ellenhorn Award Lecture
Acetaminophen Hepatotoxicity: The first 35 years

Barry H. Rumack, M.D.
Int J Med Toxicol 2002; 5(2): 6

Manuscript (PDF format)PowerPoint Presentation

Manuscript Originally published in Journal of Toxicology - Clinical Toxicology
(Clinical Toxicology, 40(1), 3-20 (2002)). Reproduced with permission.

 

CASE REPORT

Accidental Ingestion of 35% Hydrogen Peroxide Resulting in Air in the Soft Tissues of the Neck and Significant Esophageal Injury

Leslie R. Dye, M.D., F.A.C.M.T
Dan W. Dobler, MD


Int J Med Toxicol 2002; 5(2): 7

 

Flunarizine Ingestion Without Hemodynamic Consequence

Matthew D. Sztajnkrycer, MD, PhD
Bond GR
Uges DRA


Int J Med Toxicol 2002; 5(2): 8

 

ORIGINAL CONTRIBUTION

A Study of Serum Cholinesterase Activity in Agricultural and Industrial Workers Occupationally Exposed to Organophosphate Insecticides

B. Singh, MD
T.D. Dogra, MD
C.B. Tripathi, MD


Int J Med Toxicol 2002; 5(2): 9

 

Issue #3

CASE REPORT

Risk Assessment and Communication After Children's Exposure to Environmental Toxicants

Erica L. Liebelt, MD


Int J Med Toxicol 2002; 5(3): 11

 

CASE PRESENTATION COMPETITION INTRODUCTION

Disclaimer: While the cases presented here are all real, the actual events may have been slightly altered for educational purposes.

2002 Case Presentation Competition


Jeffrey Suchard, MD

Int J Med Toxicol 2002; 5(3): 12

CASE PRESENTATIONS

Case Presentation


Steven R. Offerman, MD
Toxicology Fellow
Division of Emergency Medicine and Toxicology
University of California San Diego Medical Center


Int J Med Toxicol 2002; 5(3): 13

Case Discussion


Brent Furbee, MD, FACMT
Medical Director
Indiana Poison Center


Int J Med Toxicol 2002; 5(3): 14

Case Conclusion


Steven R. Offerman, MD
Toxicology Fellow
Division of Emergency Medicine and Toxicology
University of California San Diego Medical Center


Int J Med Toxicol 2002; 5(3): 15

  

Photgraphic Submission

Urinary Fluorescence after Ethylene Glycol Ingestion

Matt Sztajnkrycer, MD, PhD

Int J Med Toxicol 2002; 5(3): 22

 

Position Statement

Institutions Housing Venomous Animals
ACMT


Int J Med Toxicol 2002; 5(3): 23

 

 

2003: Vol 6

Issue #1

EDITORIAL

A Call To Arms For Medical Toxicologists: The Dose, Not The Detection, Makes The Poison

Charles A. McKay Jr. MD FACMT, FACEP, ABIM
Michael G. Holland, MD, FACMT, FACOEM, FACEP
Lewis S. Nelson MD, FACMT, FACEP


Int J Med Toxicol 2003; 6(1): 1

 

CASE REPORT

Ketamine Medication Error Resulting in Death

Heather Long, MD
Lewis S. Nelson MD, FACMT, FACEP
Robert S. Hoffman, MD


Int J Med Toxicol 2003; 6(1): 2

 

Physician-Patient Miscommunication Results in Medication Error

Howard Greller, MD
Lewis S. Nelson MD, FACMT, FACEP


Int J Med Toxicol 2003; 6(1): 3

 

NEW DRUG APPROVALS

Voriconazole: Clinical Pharmacology and Toxicology

Christopher McCoy, PharmD


Int J Med Toxicol 2003; 6(1): 4

 

Issue #2

ENVIRONMENTAL HEALTH

Pediatric Environmental Monographs

Monograph: Indoor Air Pollutants Affecting Child Health

Elizabeth Flynn MD
Paul Matz MD
Alan Woolf MD
Robert Wright MD


Int J Med Toxicol 2003; 6(2): 5

 

ORIGINAL CONTRIBUTION

Pediatric Health Care Providers’ Advice About Home Use of Ipecac

Erica L. Liebelt MD
Keqin Qi PhD
Alan D. Woolf MD MPH


Int J Med Toxicol 2003; 6(2): 6

 

Case Presentation and Commentary

An Acetaminophen Dosing Error in A Child

Joshua G. Schier, MD
Lewis S. Nelson, MD
Robert S. Hoffman, MD


Int J Med Toxicol 2003; 6(2): 7

 

An Acetaminophen Dosing Error in A Child - Commentary

Barry H. Rumack, MD
Daniel A. Spyker, PhD, MD


Int J Med Toxicol 2003; 6(2): 8

 

Case Reports

Co-ingestion of Iron May Enhance Acetaminophen Toxicity

Keith K. Burkhart, MD, FACMT, FAACT, FACEP
Michael Garcia, MD
J Ward Donovan, MD, FACMT, FACEP


Int J Med Toxicol 2003; 6(2): 9

 

The Use of High Frequency Oscillatory Ventillation in Hydrocarbon Pneumontis


Lois K. Lee, MD, MPH
Michael Shannon, MD, MPH
John Arnold, MD


Int J Med Toxicol 2003; 6(2): 10

 

Letter to the Editor

Acute arsenic poisoning mimicking Guillain Barré Syndrome

Nitin K.Sethi, MD
Prahlad K.Sethi, MD
Ish Anand,MD


Int J Med Toxicol 2003; 6(2): 11

 

 

2004: Vol 7

Issue #1

PATIENT SAFETY

The Medical Toxicologist and Medication Errors


Charles A. McKay, MD
Jason Vena, MD


Int J Med Toxicol 2004; 7(1): 1

 

A Five-Fold Phenytoin Pediatric Dosing Error


Gar Ming Chan, MD
William Krief, MD
Lewis S. Nelson, MD, FACMT, FACEP


Int J Med Toxicol 2004; 7(1): 2

 

Foxy Methoxy: A New Drug of Abuse


Susan C. Smolinske, PharmD, DABAT
Rahul Rastogi, MD
Stephen Schenkel, MD, MPP

Int J Med Toxicol 2004; 7(1): 3

 

CASE STUDY

Massive Verapamil Pharmacobezoar Resulting In Esophageal Perforation


Michael D. Schwartz, MD
Brent W. Morgan, MD

Int J Med Toxicol 2004; 7(1): 4

 

DRUGS OF ABUSE

NEW DRUG APPROVALS

The Pharmacology and Toxicology of Aripiprazole


Michael Levine, BA 
Stephen Traub, MD
Michael J. Burns, MD


Int J Med Toxicol 2004; 7(1): 5

 

The Pharmacology and Toxicology of Atomoxetine


Jennifer Audi, MDStephej Traub, MD
Michael J. Burns, MD


Int J Med Toxicol 2004; 7(1): 6