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2. Epidemiology, Clinical Features, and Management of Texas Coral Snake (Micrurus tener) Envenomations Reported to the North American Snakebite Registry.

Author

Greene, Spencer, Ruha, Anne-Michelle, Campleman, Sharan, Brent, Jeffrey, Wax, Paul, and ToxIC Snakebite Study Group

Subjects
ToxIC Snakebite Study Group, Animals, Humans, Pain, Paresthesia, Erythema, Snake Bites, Edema, Analgesics, Opioid, Antiemetics, Elapid Venoms, Treatment Outcome, Registries, Adolescent, Adult, Aged, Child, Child, Preschool, Texas, Female, Male, Young Adult, Coral Snakes, Coral snake, Envenomation, Micrurus tener, Snakebite, Venom, Pain Research, Neurosciences, Clinical Research, Clinical Sciences, Pharmacology and Pharmaceutical Sciences
Abstract

IntroductionFew of the 5000-8000 snakebites reported to poison control centers annually in the USA are attributed to coral snakes. This study describes Texas coral snake envenomations reported to the North American Snakebite Registry.MethodsAll Texas coral snake envenomation cases reported to the registry were identified for the period from January 1, 2015, through December 31, 2019. Data reviewed for this study included details regarding the snake encounter, patient demographics, signs and symptoms, treatment, and outcomes. Descriptive statistics were used to report results.ResultsTen men and four nonpregnant women reported coral snake bites. The median patient age was 15.5 (range 5-72 years). There were 12 upper extremity bites and two bites to the lower extremity. The most common symptoms reported were paresthesias and pain. All subjects had paresthesias, often described as an "electric" sensation. Seven patients described them as painful. The most common clinical findings were erythema and swelling. No patient developed tissue damage, hematotoxicity, rhabdomyolysis, hypotension, weakness, or respiratory symptoms. Thirteen subjects were treated with opioids. Six patients were treated with antiemetics: three prophylactically and two for opioid-induced nausea. One patient developed nausea and non-bloody, nonbilious emesis within 1 hour of the bite, prior to receiving opioids. No patients were treated with antivenom. Antibiotics were not administered to any patient, and no infections were reported.ConclusionsEnvenomations from M. tener in Southeast Texas are characterized by painful paresthesias. Mild swelling and erythema are common. Neurotoxicity necessitating antivenom or mechanical ventilation did not occur.

Published
2021

3. Chloroquine Ingestion to Prevent SARS-CoV-2 Infection: A Report of Two Cases

Author

Graff, Jonathan, Thompson, Michelle Geyer, Berriochoa, Zachary, Kuhn, Bryan, Ruha, Anne-Michelle, and Lipinski, Christopher

Subjects
Chloroquine overdose, COVID-19, fish tank cleaner, SARS-CoV2, case report
Abstract

Introduction: Amid the global pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), chloroquine and hydroxychloroquine were being studied as agents to prevent and treat coronavirus disease 2019. Information about these agents and their effects circulated throughout the general public media, raising the concern for self-directed consumption of both pharmaceutical and non-pharmaceutical products.Case Report: We present two cases of chloroquine toxicity that occurred after ingestion of an aquarium disinfectant that contained chloroquine phosphate in a misguided attempt to prevent infection by SARS-CoV-2. One patient had repeated emesis and survived, while the other was unable to vomit, despite attempts, and suffered fatal cardiac dysrhythmias.Conclusion: These cases illustrate the spectrum of toxicity, varied presentations, and importance of early recognition and management of chloroquine poisoning. In addition, we can see the importance of sound medical guidance in an era of social confusion compounded by the extremes of public and social media.

Published
2021

6. When It Comes to Snakebites, Kids Are Little Adults: a Comparison of Adults and Children with Rattlesnake Bites.

Author

Levine, Michael, Ruha, Anne-Michelle, Wolk, Brian, Caravati, Martin, Brent, Jeffrey, Campleman, Sharan, Wax, Paul, and ToxIC North American Snakebite Study Group

Subjects
ToxIC North American Snakebite Study Group, Animals, Humans, Crotalus, Snake Bites, Crotalid Venoms, Antivenins, Prognosis, Registries, Retrospective Studies, Intubation, Intratracheal, Age Factors, Time Factors, Adolescent, Adult, Middle Aged, Child, Child, Preschool, Infant, Infant, Newborn, North America, Female, Male, Young Adult, Antivenom, Envenomation, Pediatric, Rattlesnake, Snake, Patient Safety, Clinical Research, Good Health and Well Being, Clinical Sciences, Pharmacology and Pharmaceutical Sciences
Abstract

BackgroundRattlesnake envenomations are a significant cause of morbidity in the USA. While pediatric rattlesnake envenomations are relatively common, data comparing adult and pediatric patients with rattlesnake envenomations remain limited.MethodsThis multi-center retrospective study used the North American Snakebite Registry (NASBR), a sub-registry of the Toxicology Investigator's Consortium (ToxIC). All cases of rattlesnake envenomations between January 1, 2013, and December 31, 2017, which were entered into the NASBR, were reviewed. Clinical and laboratory parameters, as well as treatment and outcome measurements, were compared between adult and pediatric patients.ResultsA total of 420 unique cases were identified, including 94 pediatric patients. Adult patients were more likely to be male (76% vs. 62%; OR 1.98) and sustain upper extremity envenomations (57% vs. 25%; OR 4.4). After adjusting for bite location, adults were more likely to exhibit edema compared with pediatric patients. After controlling for envenomation location, there was no difference in rates of necrosis between adult and pediatric patients. Adults exhibited early hematologic toxicity less frequently than pediatric patients, but there was no difference in the rates of late hematologic toxicity. There were no differences in the rates of hypotension or intubation.ConclusionWhile adult and pediatric patients have some differences in envenomation characteristics and laboratory parameters, adults and pediatric patients had similar rates of systemic toxicity, severity, length of stay, and late hematologic toxicity.

Published
2020

9. Comparison of F(ab’)2 versus Fab antivenom for pit viper envenomation: A prospective, blinded, multicenter, randomized clinical trial

Author

Bush, Sean P, Ruha, Anne-Michelle, Seifert, Steven A, Morgan, David L, Lewis, Brandon J, Arnold, Thomas C, Clark, Richard F, Meggs, William J, Toschlog, Eric A, Borron, Stephen W, Figge, Gary R, Sollee, Dawn R, Shirazi, Farshad M, Wolk, Robert, de Chazal, Ives, Quan, Dan, García-Ubbelohde, Walter, Alagón, Alejandro, Gerkin, Richard D, and Boyer, Leslie V

Subjects
Clinical Research, Hematology, Clinical Trials and Supportive Activities, Evaluation of treatments and therapeutic interventions, 6.1 Pharmaceuticals, Adolescent, Adult, Aged, Aged, 80 and over, Animals, Antivenins, Blood Coagulation Disorders, Child, Child, Preschool, Crotalid Venoms, Double-Blind Method, Female, Humans, Immunoglobulin Fab Fragments, Male, Middle Aged, Platelet Count, Prospective Studies, Snake Bites, Treatment Outcome, Viperidae, Young Adult, Snakes, Toxinology, Pharmacology and Pharmaceutical Sciences, Toxicology
Abstract

BackgroundCrotalidae Polyvalent Immune Fab (Ovine) has been the only antivenom commercially available in the US since 2007 for treatment of Crotalinae envenomation. Late coagulopathy can occur or recur after clearance of Fab antivenom, often after hospital discharge, lasting in some cases more than 2 weeks. There have been serious, even fatal, bleeding complications associated with recurrence phenomena. Frequent follow-up is required, and additional intervention or hospitalization is often necessary. F(ab')2 immunoglobulin derivatives have longer plasma half life than do Fab. We hypothesized that F(ab')2 antivenom would be superior to Fab in the prevention of late coagulopathy following treatment of patients with Crotalinae envenomation.MethodsWe conducted a prospective, double-blind, randomized clinical trial, comparing late coagulopathy in snakebitten patients treated with F(ab')2 with maintenance doses [F(ab')2/F(ab')2], or F(ab')2 with placebo maintenance doses [F(ab')2/placebo], versus Fab with maintenance doses [Fab/Fab]. The primary efficacy endpoint was coagulopathy (platelet count < 150 K/mm(3), fibrinogen level < 150 mg/dL) between end of maintenance dosing and day 8.Results121 patients were randomized at 18 clinical sites and received at least one dose of study drug. 114 completed the study. Of these, 11/37 (29.7%) in the Fab/Fab cohort experienced late coagulopathy versus 4/39 (10.3%, p < 0.05) in the F(ab')2/F(ab')2 cohort and 2/38 (5.3%, p < 0.05) in the F(ab')2/placebo cohort. The lowest heterologous protein exposure was with F(ab')2/placebo. No serious adverse events were related to study drug. In each study arm, one patient experienced an acute serum reaction and one experienced serum sickness.ConclusionsIn this study, management of coagulopathic Crotalinae envenomation with longer-half-life F(ab')2 antivenom, with or without maintenance dosing, reduced the risk of subacute coagulopathy and bleeding following treatment of envenomation.

Published
2015

13. North American Scorpions

Author

Levine, Michael, Ruha, Anne-Michelle, Brent, Jeffrey, editor, Burkhart, Keith, editor, Dargan, Paul, editor, Hatten, Benjamin, editor, Megarbane, Bruno, editor, Palmer, Robert, editor, and White, Julian, editor

Published
2017
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15. Management of Acetaminophen Poisoning in the US and Canada

Author

Dart, Richard C., primary, Mullins, Michael E., additional, Matoushek, Theresa, additional, Ruha, Anne-Michelle, additional, Burns, Michele M., additional, Simone, Karen, additional, Beuhler, Michael C., additional, Heard, Kennon J., additional, Mazer-Amirshahi, Maryann, additional, Stork, Christine M., additional, Varney, Shawn M., additional, Funk, Alexandra R., additional, Cantrell, Lee F., additional, Cole, Jon B., additional, Banner, William, additional, Stolbach, Andrew I., additional, Hendrickson, Robert G., additional, Lucyk, Scott N., additional, Sivilotti, Marco L. A., additional, Su, Mark K., additional, Nelson, Lewis S., additional, and Rumack, Barry H., additional

Published
2023
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31. Lipid emulsion therapy during management of the critically-ill poisoned patient: a prospective cohort study.

Author

Levine, Michael, Brent, Jeffrey, Wiegand, Timothy, Maguire, Bryan, Cohen, Neta, Vaerrier, David, Beuhler, Michael, Leikin, Jerrold B., Ganetsky, Michael, Stellpflug, Samuel, Ruha, Anne-Michelle, Carey, Jennifer, Geib, Ann-Jeannette, Cao, Dazhe James, Kleinschmidt, Kurt, Vohra, Rais, Riley, Brad D., Moore, Phillip, Schwarz, Evan, and Neavyn, Mark

Subjects
SYSTOLIC blood pressure, INTRAVENOUS fat emulsions, EMULSIONS, COHORT analysis, LONGITUDINAL method, LIPIDS
Abstract

Despite conflicting data, intravenous lipid emulsion has emerged as a potential antidote. The "lipid sink" theory suggests that following intravenous administration of lipid, lipophilic drugs are sequestered in the vascular compartment, thereby reducing their tissue concentrations. This study sought to determine if survival is associated with the intoxicant's degree of lipophilicity. We reviewed all cases in the Toxicology Investigators Consortium's lipid sub-registry between May 2012 through December 2018. Information collected included demographics, exposure circumstances, clinical course, management, disposition, and outcome. The primary outcome was survival after lipid emulsion therapy. Survival was stratified by the log of the intoxicant's octanol-water partition coefficient. We also assessed the association between intoxicant lipophilicity and an increase in systolic blood pressure after lipid emulsion administration. We identified 134 patients, including 81 (60.4%) females. The median age was 40 years (interquartile range 21-75). One hundred and eight (80.6%) patients survived, including 45 (33.6%) with cardiac arrest during their intoxication. Eighty-two (61.2%) were hypotensive, and 98 (73.1%) received mechanical ventilation. There was no relationship between survival and the log of the partition coefficient of the intoxicant on linear analysis (P = 0.89) or polynomial model (P = 0.10). Systolic blood pressure increased in both groups. The median (interquartile range) systolic blood pressure before lipid administration was 68 (60-78) mmHg for those intoxicants with a log partition coefficient < 3.6 compared with 89 (76-104) mmHg after lipid administration. Among those drugs with a log partition coefficient > 3.6, the median (interquartile range) was 69 (60-84) mmHg before lipid and 89 (80-96) mmHg after lipid administration. Most patients in this cohort survived. Lipophilicity was not correlated with survival or the observed changes in blood pressure. The study did not address the efficacy of lipid emulsion. [ABSTRACT FROM AUTHOR]

Published
2023
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33. The Toxicology Investigators Consortium Case Registry—the 2015 Experience

Author

Farrugia, Lynn A., Rhyee, Sean H., Campleman, Sharan L., Ruha, Anne-Michelle, Weigand, Timothy, Wax, Paul M., Brent, Jeffrey, Seifert, Steven, Pomerleau, Adam, Kazzi, Ziad, Ganetsky, Michael, Burns, Michele, Beuhler, Michael, King, Joshua D., Aks, Steven, Furmaga, Jakub, Wax, Paul, Brent, Jeffrey, Hoyte, Christopher, Leikin, Jerrold, Vohra, Rais, Judge, Bryan, Riley, Brad, Meggs, William J., Bentur, Didi, Moore, Phil, Farrugia, Lynn, Greene, Spencer, Rusyniak, Daniel, Lowry, Jennifer, Algren, Adam, Wolk, Brian, Levine, Michael, Nogar, Josh, Kostic, Mark, Gummin, David, Calello, Diane, Geib, Ann-Jeannette, Hernandez, Stephanie, Smith, Silas, Nelson, Lewis, Marcus, Steven, Kirschner, Ronald, Rowden, Adam, Vearrier, David, McKeever, Rita, Ruha, Michelle, Pizon, Anthony, Hendrickson, Robert, McKeown, Nate, Wills, Brandon, Cumpston, Kirk, Alhelail, Mohammed, Wiegand, Timothy, Caravati, E. Martin, Sessions, Daniel, Maddry, Joseph, Minns, Alicia, Lung, Derrick, Smollin, Craig, Kibby, Thomas, Schwarz, Evan, Stellpflug, Samuel, Engebretsen, Kristin, Majlesi, Nima, Sullivan, Ross, Peredy, Tamas, Finkelstiein, Yaron, Carey, Jennifer, and On behalf of the Toxicology Investigators Consortium

Published
2016
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39. Colaboradores

Author

Aaronson, Emily L., Abbott, Ethan E., Abraham, Gallane, Abraham, Michael K., Agrait-Gonzalez, Miguel, Akhtar, Saadia, Aks, Steven E., Atchinson, Patricia Ruth, Auerbach, Marc, Aufderheide, Tom P., Bakes, Katie, Banks, Laura L., Barksdale, Aaron N., Barrett, Whitney, Becker, Bruce M., Ma, Zheng Ben, Biese, Kevin, Biros, Michelle H., Bitterman, Robert A., Blackwell, Thomas H., Blum, Frederick C., Blumen, Ira J., Bolgiano, Edward B., Bond, Michael C., Bookman, Kelly, Borhart, Joelle, Boswell, Brittany, Brady, William J., Braithwaite, Sabina A., Brody, Aaron, Brown, Calvin A., III., Brown, David F.M., Brown, James E., Buchanan, Jennie Alison, Bukhman, Alice Kidder, Bullard-Berent, Jeffrey, Bunney, E. Bradshaw, Burton, John H., Caglar, Derya, Cahill, John D., Carlberg, David J., Chang, Andrew K., Chary, Michael A., Chen, Paul, Chumpitazi, Corrie E., Cico, Stephen John, Claudius, Ilene, Coates, Wendy C., Cole, Jon B., Colwell, Christopher B., Corbin, Theodore, Cooper, Robert, Corwell, Brian Niall, Curtis, Amelia M., D’Andrea, Shawn, Danzl, Daniel F., Davenport, Moira, Davis, Alysa S., Davis, Jonathan, Davis, Natalie L., Daya, Mohamud R., DeGeorge, Lindsey M., Derlet, Robert W., Dobiesz, Valerie A., Dupré, Alan A., Duran-Gehring, Petra, Easter, Joshua S., Edwards, Christopher J., Eilbert, Wesley P., Eiting, Erick, Elie-Turenne, Marie-Carmelle, Erickson, Timothy B., Eyre, Andrew J., Fairley, Romeo, Farrell, Susan E., Fath, John J., Fernandez-Frackelton, Madonna, Finnell, John T., Franco, Vanessa, Frazee, Bradley W., Friedman, Benjamin W., Gaddy, Jeremiah D., Ganetsky, Michael, Gausche-Hill, Marianne, Geiderman, Joel M., Germann, Carl A., Glass, George F., III., Glauser, Jonathan M., Godwin, Steven A., Goldberg, Scott A., Goodloe, Jeffrey M., Gorgas, Diane L., Green, Thomas J., Grossman, Shamai A., Guluma, Kama, Guttman, Joshua, Haas, Nathan L., Haines, Elizabeth J., Hajicharalambous, Christina, Hall, Matthew M., Halmo, Laurie Seidel, Hansoti, Bhakti, Harris, N. Stuart, Harrison, Nicholas, Hart, Danielle, Hatten, Benjamin W., Heine, Carlton E., Heiner, Jason D., Henn, Megan C., Hern, H. Gene, Jr., Hess, Jamie M., Hill, Adam D., Himelfarb, Nadine T., Hockberger, Robert S., Hogrefe, Christopher, Holland, Carolyn Kluwe, Holmes, James F., Hoppe, Jason A., Horeczko, Timothy, Hoyte, Christopher, Hsieh, Dennis, Hudson, Korin, Huesgen, Karl, Hwang, Ula, Iserson, Kenneth V., Iwanicki, Janetta L., Jagoda, Andy, James, Thea, Jewell, Corlin, Johnson, Nicholas J., Jones, Alan E., Jones, Emily M., Jouriles, Nicholas J., Kabrhel, Christopher, Kaide, Colin G., Kaji, Amy H., Kaplan, Julius (Jay) A., Kayden, Stephanie, Kearney, Ryan D., Kelly, Matthew P., Kim, Hyung T., Kivlehan, Sean M., Koenig, Kristi L., Kosowsky, Joshua M., Koval, Christine E., Koyfman, Alex, Kurz, Michael C., Lall, Michelle D., Lang, Spenser C., Lee, Jeffrey E., Lei, Charles, Levine, Michael D., Levy, Matthew J., Levy, Phillip D., Lim, Christopher S., Lindberg, Daniel, Lipsky, Ari M., Liu, J. Marc, Long, Brit, Macias-Konstantopoulos, Wendy, Maciel, Carolina Barbosa, Maher, Patrick J., Maloney, Gerald E., Jr., Maloney, Patrick J., Marco, Catherine Anna, Marill, Keith A., Martinez, Joseph P., Matlock, Aaron G., Mayersak, Ryanne J., May, Larissa S., McCoin, Nicole S., McCurdy, Michael T., McKinzie, Jeffry, Meaden, Christopher W., Meehan, Timothy J., Mehta, Niyati, Meurer, William J., Mick, Nathan W., Miloslavsky, Eli M., Miner, James R., Mohr, Nicholas M., Moll, Joel, Monas, Jessica, Monte, Andrew A., Montgomery, Martha M., Moore, Malia J., Moran, Gregory J., Mycyk, Mark B., Nable, Jose V., Nagler, Joshua, Nassisi, Denise, Nathan, Joshua B., Nelson, Lewis S., Nelson, Michael E., Newton, Kim, Nguyen, Thomas, Nicholson, Adam M., Nickels, L. Connor, Nikolaides, Jenna Karagianis, Nite, Micah J., Nitzberg, Michael, Norman, Marquita S., Norse, Ashley Booth, Nowak, Richard M., Ogunniyi, Adedamola A., Overbeek, Daniel L., Padlipsky, Patricia, Palmer, Jessica, Papa, Linda, Peak, David A., Pedigo, Ryan Anthony, Perkins, Jack, Jr., Pfaff, James A., Pfennig, Camiron L., Phelan, Michael P., Pierce, Ava E., Platt, Melissa A., Pontius, Elizabeth P.D., Pour, Trevor R., Preston-Suni, Kian, Price, Timothy G., Prince, William B., Probst, Marc, Pulia, Michael, Puskarich, Michael A., Quest, Tammie E., Raja, Ali S., Raukar, Neha P., Reardon, Robert F., Reed, Kevin C., Richards, David B., Rischall, Megan L., Robinson, Daniel W., Rodenberg, Howard, Roginski, Matthew A., Roline, Chad E., Rose, Emily, Rose, Jeremy, Rose, Nicholas G.W., Rosen, Tony, Ross, Weston, Rudy, C. Craig, Ruha, Anne-Michelle, Rybarczyk, Megan M., Sachs, Carolyn Joy, Salzberg, Matthew, Sánchez, León D., Sanders, Arthur B., Miguel, Christopher E. San, Scarfone, Richard J., Schmidt, Andrew, Schmitt, Eric R., Schnapp, Benjamin H., Schoener, Benjamin, Schultz, Carl H., Seethala, Raghu, Seiden, Jeffrey A., Seigel, Todd A., Selby, Sarah Tolford, Self, Wesley H., Sexton, Joseph, Shaikh, Huma, Shapiro, Michael A., Shapiro, Nathan I., Shappell, Eric, Shapshak, Dag, Sharp, Andrea C., She, Trent, Shetty, Pranav, Shewakramani, Sanjay N., Shreves, Ashley, Simon, Barry C., Simon, Leslie V., Singh, Manpreet, Singh, Sonia, Skolnik, Aaron B., Slovis, Corey M., Smereck, Janet, Smith, Clay, Sokolove, Peter E., Soskin, Philippa, Soulek, Jaron, Southerland, Lauren T., Springer, Brian L., Stenson, Bryan A., Stoklosa, Hanni, Tainter, Christopher R., Takhar, Sukhjit S., Tang, Nelson, Taylor, Todd Andrew, Theobald, Jillian L., Thiessen, Molly E.W., Thomas, Anita A., Thomas, Natasha, Thompson, Holly, Thompson, Trevonne M., Thornton, Joseph E., Tyndall, J. Adrian, Torbati, Sam, VanRooyen, Michael, Verbillion, Meagan B., Vohra, Taher T., Vojta, Leslie R., Waasdorp, Christopher P., Jr., Wacker, David A., Wagner, Mary Jo, Walker, Laura E., Wallenstein, Joshua, Walls, Ron M., Wang, George Sam, Wardi, Gabriel, Waxman, Matthew A., Weichenthal, Lori, Welker, Katherine Louise, Wessel, Amanda L., White, Benjamin, White, William, Wilcox, Susan R., Williamson, Craig A., Wolfson, Allan B., Wu, Andrea W., Yealy, Donald M., Young, Henry W., II., Zafren, Ken, Zdradzinski, Michael J., Zink, Brian J., and Zun, Leslie S.

Published
2024
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40. Contributors

Author

Abdul-Hussein, Mustafa, Abhyankar, Sunil, Adam, Rodney D., Adesanya, T.M. Ayodele, Agudelo Higuita, Nelson Iván, Ahmed, Mehwish, Akst, Lee, Alexander, Ethan, Allen, Patrick L., Anderson, Kelley P., Andre, Paul, Anstead, Gregory, Aring, Ann M., Armstrong, Cheryl A., Arshi, Arash, Azar, Cecilio R., Azarbal, Amir, Baang, Jihoon, Baeseman, Zachary, Bailey, Justin, Bajaj, Mandeep, Bakk, Juliana, Bakula, Dana M., Balagué, Federico, Barth, Bradley E., Basello, Gina M., Bassaly, Renee, Bassily-Marcus, Adel, Baughn, Julie M., Belakovskiy, Aleksandr, Ben-Ami, Ronen M., Bernstein, David I., Bernstein, Jonathan A., Beyer, Caroline, Birt, Mitchell, Blair, Yooni, Blonien, Natalie, Bolotin, Diana, Bonnema, Rachel A., Borenstein, David, Boschuetz, Nicole, Bossart, Christopher, Bowman, Deidra, Bragg, Dee Ann, Bragg, Scott, Brice, Sylvia L., Briggs, Allyson M., Brill, John, Brown, Rachel, Buckley, Peter F., Burns, Sarah, Byrd, Kenneth, Cadavid, Diego, Caraccio, Thomas, Carek, Peter, Carrion, Andres F., Casillas, Carlos Anthony, Cass, Amanda S., Catinella, Anthony P., Cayley, William E., Jr., Cece, Kristine L., Cerquozzi, Sonia, Cervera, Alvaro, Cetani, Filomena, Chamberlain, Rachel, Chan, Lawrence, Chan, Miriam, Chandramohan, Divya, Chang, Zenas, Chen, Jimmy, Chen, Lin Yee, Chihara, Shingo, Chitlur, Meera, Chohan, Saima, Christensen, Jacob, Chyu, Kuang-Yuh, Cigarroa, Joaquin E., Cleland, Paul, Cline, Matthew K., Coates, Laura C., Colenbrander, August, Conageski, Christine, Conly, John M., Cooper, Ashley, Cooper, Stacy, Cormier, Allison, Cunha, Burke A., Cunha, Cheston B., Curran, Thomas, Curry, Amy, Daines, Cori L., Damitz, Beth, Datta, Nandini, Dattilo, Natalie C., Davaro, Raul, David, Kevin A., Davis, Joshua, DeCastro, Alexei O., DeGeorge, Katharine C., DeLoughery, Thomas G., Deodhar, Atul A., Desai, Urmi, Dessinioti, Clio, Dey, Mahua, Diamond, Michael P., Dion, Christopher, Dobbs, Thomas E., Dobson, Margaret, Donahue, Colleen A., Donnan, Geoffrey A., Dorsch, John N., Dougan, Michael, Douglas, Chad, Dowlatshahi, Dar, Dowler, Shannon, Drevets, Douglas A., Dudley, Samuel, Duggan, Peter R., Eagle, Kim, Eck, Leigh M., Edwards, Sarah, El Atrouni, Wissam I., Elston, Dirk M., Embil, John M., Epstein, Scott K., Evans, Susan, Evens, Andrew M., Fairweather, Mark, Falk, Marni J., Faris, Anna, Farraye, Francis A., Faugno, Anthony J., III, Faust, Hilary, Fayssoux, Kinder, Ferguson, Ian D., Fife, Terry D., Finley, David J., Firnhaber, Jonathon, Fisher, Lynn, Fisher, William E., Fleseriu, Maria, Fletcher, Donald C., Foster, Jeffrey Michael, Frank, Jennifer, Freeman, Ellen W., Frenz, David A., Gaba, Ruchi, Gaines, Melissa, Garcia, Mark E., George, Virgilio V., Ghany, Marc G., Ghazi, Muhammad Ahmad, Gibney, Geoffrey T., Gilbert, Donald L., Gilchrist, Karissa, Gillaspie, Erin A., Gilotra, Tarvinder, Gladwin, Mark T., Gluckman, Stephen J., Goddard, Andrew W., Goerl, Kyle, Gold, Mark S., Goldstein, Amy, Goodwin, Gregory, Gorelik, Daniel, Gosmanov, Aidar R., Gradoni, Luigi, Graham, Timothy P., Grant-Kels, Jane M., Grdinovac, Kristine, Greenberg, Leslie A., Greene, William M., Greensher, Joseph, Gregory, David S., Greiwe, Justin, Hague, Melissa, Halder, Rebat M., Hall, Alan M., Harris, Kari R., Harrison, Taylor B., Hartman, Adam L., Hayes, Erin, Haynes, James W., Heidelbaugh, Joel J., Hinshaw, Molly A., Hockenberry, Brandon, Hohl, Raymond J., Holguin, Therese, Holstein, Sarah A., Holyoak, Michael, Homan, Gretchen, Hommema, Kevin, Hommema, Laurie A.M., Hossani-Madani, Ahmad Reza, House, Steven A., Houssayni, Sarah, Howlett, Bethany, Hueston, William J., Huettemann, Richard, Huffstetler, Alison N., Hunter, Anthony, Huynh, Jacqueline, Ibidapo-Obe, Oyetokunbo, Ing, Alice M., Irwin, Gretchen, Isaac, Daniel, Jackson, Alan C., Jackson-Tarlton, Caitlin, Jacobson, Kurt M., Jaller, Jose A., James, W. Ennis, Jeang, Lauren, Jha, Abhishek, Jia, Xiaoming, Johnson, Lisa M., Jolissaint, Joshua S., Kadhiravan, Tamilarasu, Kaiksow, Farah, Kalia, Rachna, Kamprath, Sagar, Kanter, Jessica Rachel, Karnad, Dilip R., Karnchanasorn, Rudruidee, Katsambas, Andreas, Katz, Ben Z., Katzman, Rebecca, Kaunitz, Andrew M., Kellerman, Rick, Kellermann, Scott, Kelly, Christina M., Khaki, Sheevaun, Kim, Arthur Y., Kim, Haejin, Kinnucan, Jami A., Kirsner, Robert S., Kiwalkar, Sonam R., Knoefel, Janice, Kolb, Amanda, Kolla, Bhanu Prakash, Korley, Frederick, Kraemer, Mark, Krause, Megan, Kraut, Eric H., Krishnamurti, Lakshmanan, Krishnan, Kumar, Kuhlmann, Zachary, Kulkarni, Roshni, Kumar, Seema, Kwaan, Mary R., Kyle, Robert A., Lambert, Matthew, Lampton, Lucius Marion, Lange, Richard A., Langlois, Fabienne, Lau, Christine L., Lawrence-Hylland, Susan, Lazaroff, Jake, Lee, Lydia U., Leikin, Jerrold B., Leikin, Scott, Leung, Alexander K.C., Levy-Clarke, Grace, LeWinter, Martin M., Li, Ming, Liebenstein, Tyler, Lin, Albert P., Linder, Jeffrey A., Lock, James, Long, M. Chantel, Loo-Gross, Colleen, Lubsen, Julia R., Lun, Ronda, Mahvi, David (Sasha), Maiorella, RosaMarie, Maldonado, Jonathan, Malhotra, Uma, Manlove, Emily, Manson, JoAnn E., Mansukhani, Meghna P., Marcocci, Claudio, Margo, Curtis E., Marker, Jason E., Martin, Paul, Mathis, Samuel, Matza, Mark A., Maxwell, Pinckney J., IV, May, Danica, Mazepa, Marshall, McClain, Molly, McGrew, Christopher, McGuigan, Christopher C., McGuigan, Michael, Mehta, Meetal, Meiselman, Mick S., Mercado, Moises, Meyers, Steven L., Michael, William, Miller, Brian J., Millington, Timothy M., Mirza, Moben, Mishra, Kriti, Mofenson, Howard C., Mogensen, Kris M., Moritz, Michael L., Mortada, Rami, Mortaji, Parisa, Moss, Heather E., Mostafa, Salama, Moul, Judd W., Muller, Martha, Murinova, Natalia, Murphy, Michael, Muthusubramanian, Arjun, Nagji, Alykhan S., Nagle, Brian James, Naranjo, Laura, Nasim, Rabab, Nazari, Matthew, Nazeef, Moniba, Neelakantan, Viswanathan K., Neff, Donald A., Neil, Tara J., Nelson, William G., Neschis, David G., Nester, Theresa, Nguyen, Tam T., Nicol, Andrea L., Nieves-Arriba, Lucybeth, North, Crystal M., Novac, Andrei, Novelli, Enrico M., Nye, Lauren, Obi, Andrea T., Okeson, Jeffrey P., Oliveira, Carlos R., Ong, Peck Y., Oram, Daniel S., Ortiz, David D., Osmani, Sabah, Ozgonenel, Bulent, Pacak, Karel, Padin-Rosado, Jose A., Padungkiatsagul, Tanyatuth, Paladine, Heather L., Pandolfino, John E., Parrish, Marc, Patel, Deval, Patel, Hirenkumar, Patton, Simon, Penna, Gerson O., Penna, Maria Lucia, Perkins, Allen, Petronic-Rosic, Vesna M., Phan, Hanna, Phan, Hiep, Pietroni, Mark, Plotnikoff, Gregory A., Pollart, Susan M., Poon, Jennifer K., Porter, Andrew S.T., Powell, Charles, Pusateri, Margaret, Quinn, James M., Rahko, Peter S., Rajkumar, S. Vincent, Rajpara, Anand, Ramakrishnan, Kalyanakrishnan, Rana, Jatin, Rank, Matthew A., Raoult, Didier, Rapose, Alwyn, Rau, Rachel E., Ravindran, Anita Devi K., Regehr, Jared, Reid, Ian R., Rennert-May, Elissa, Rew, Karl, Rhyne, Amanda, Riese, Martha, Robbins, David C., Robert, Sophie, Robertson, Amy, Robinson, Malcolm K., Roche, William P., Rohrberg, Tessa E., Rose, Candice E., Rose, Peter G., Ross, Stephen, Roth, Alan R., Ruha, Anne-Michelle, Rundell, Kristen, Said, Adnan, Sairenji, Tomoko, Samson, Susan L., Sanchez, Carlos E., Sangodkar, Sandeep, Santana, Arelis, Sarode, Ravi, Schatz, Michael, Schevchuck, Alex, Schiller, Lawrence R., Biggerstaff, Kristin Schmid, Schmidt, Darren, Schrager, Sarina, Schuller, Dan, Sciortino, Teresa, Seashore, Justin, Sedhom, Wafik G., Seifert, Steven, Semel, Jeffery D., Shaffi, Saeed Kamran, Shah, Beejal, Shah, Meera, Shah, Prediman K., Shah, Shenil, Shammo, Jamile M., Shannon, Kathleen Mary, Shapiro, Eugene D., Sharara, Ala I., Sharma, Sonal, Sheehan, John P., Sherman, Kamille, Shevy, Laura Elyse, Shew, Sable, Sierpina, Victor S., Sievers, Karlynn, Silk, Hugh, Simon, Lisa, Sinclair, Aaron D., Siraj, Dawd S., Smith, Jeannina, Smith, Zachary L., Soder, Rupal, Sojka, John, Somers, William J., Song, Mihae, Sosa, Nestor, Sowder, Timothy, Speer, Linda, St. Louis, Erik Kent, Stephens, Todd, Stiles, Melissa, Stratakis, Constantine, Stulberg, Daniel, Suarez, Jose D., Takashima, Masayoshi, Takyar, Varun, Talhari, Carolina, Tang, Jie, Taylor-Salmon, Emma, Templeton, Kimberly, Teng, Joyce M.C., Thein-Nissenbaum, Jill, Tilden, Daniel R., Tillett, William, Tobin, Kenneth, Tsaltas, Theodore T., Turner, Katherine, Unizony, Sebastian H., Unruh, Mark, Uppendahl, Locke, Vale, Colin, Vallurupalli, Anusha, Van Buren, George, II, Van Durme, Daniel J., VanDerKolk, Kristi, Varlamov, Elena V., Veglia, Megan, Vélez, Christopher, Vercellotti, Gregory, Vincent, Kyle, Vinh, Donald C., Vyas, Jatin M., Wagner, Tamara, Wakefield, Thomas W., Wald, Arnold, Wald, Ellen R., Walia, Sargun, Walker, Robin A., Wang, Ernest, Wang, Jennifer, Watanabe, Koji, Waters, Alexis, Weber, Ruth, Wehler, Cheryl, Wei, Alice C., Weida, Jane A., Weissman, David N., Welliver, Robert C., Sr., Wester, Rebecca M., Wexler, Randell, Wilamowska, Katarzyna, Williams, Kimberly, Williams, Tracy L., Winterhoff, Boris, Wipperman, Jennifer, Wirtz, Mark, Wittler, Robert, Wood, Gary S., Worswick, Scott, Wu, Dominic J., Wu, Steve W., Wyre, Hadley, Xie, Cathy, Yaghi, Marita, Yakubov, Steven J., Yang, Yul W., Yew, Kenneth S., Yiannias, James A., Young, Natawadee, Zea Vera, Alonso G., Zhou, Shiwei, and Zoller, Heinz

Published
2024
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44. Late hemotoxicity following North American rattlesnake envenomation treated with crotalidae immune F(ab')2 (equine) antivenom and crotalidae immune polyvalent Fab (ovine) antivenom reported to the North American Snakebite Sub-registry.

Author

Spyres, Meghan Beth, Padilla, Gabriel K., Gerkin, Richard D., Hoyte, Christopher O., Wolk, Brian Joseph, and Ruha, Anne-Michelle

Subjects
PIT vipers, ANTIVENINS, RATTLESNAKES, SNAKEBITES, FISHER exact test
Abstract

Late hemotoxicity is common following rattlesnake envenomation treated with crotalidae immune polyvalent Fab (ovine) (FabAV). Initial clinical trials showed crotalidae immune F(ab')2 (equine) (Fab2AV) to be superior to FabAV in preventing late hemotoxicity, but this effect has not been demonstrated in broader populations. This study investigated late hemotoxicity in patients receiving Fab2AV or FabAV after rattlesnake envenomation. This is a retrospective analysis of prospectively collected data from patients with snakebite reported to the ToxIC North American Snakebite Registry (NASBR) between January 1, 2019, and December 31, 2020. Inclusion criteria were rattlesnake envenomation and administration of antivenom. Patients were excluded if they received more than one type of antivenom. The primary outcome was occurrence of late hemotoxicity (platelets ≤120 k/mm3 or fibrinogen ≤170 mg/dL) in patients receiving Fab2AV and FabAV. Data collected included demographics, envenomation characteristics, laboratory values, and treatment administered. Statistics including t-test and Fisher's exact test were used. A total of 201 rattlesnake envenomated patients receiving antivenom were reported to the NASBR in the study period; 144 were included. 49 received Fab2AV alone, 45 received FabAV alone and 50 received both antivenoms. Baseline patient and envenomation characteristics were similar between the groups. Late hemotoxicity occurred in 2/49 patients in the Fab2AV group (4% (95% CI 0.7–12.6)) and in 19/45 patients in the FabAV group (42% (95% CI 28.4–59.0); absolute risk reduction 39.1% (95% CI 21.2–46.2) (p = 0.001). On follow up, 0 patients (0%) receiving Fab2AV were retreated with antivenom; 4 patients (9%) receiving FabAV were retreated (p = 0.049). In the North American Snakebite Registry, late hemotoxicity was less common in rattlesnake envenomated patients treated with Fab2AV compared to FabAV. [ABSTRACT FROM AUTHOR]

Published
2022
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45. Contributors

Author

Abdul-Hussein, Mustafa, Abhyankar, Sunil, Adam, Rodney D., Adams, Paul C., Adesanya, T.M. Ayodele, Agudelo Higuita, Nelson Iván, Ahmed, Omar G., Akst, Lee, Anderson, Kelley P., Andre, Paul, Anstead, Gregory M., Aring, Ann M., Armstrong, Cheryl A., Arshi, Arash, Avalos, Danny, Azar, Cecilio M., Azarbal, Amir, Baeseman, Zachary, Bailey, Justin, Bajaj, Mandeep, Bakhutashvili, Vladimer, Balagué, Federico, Banti, Matthew Michael, Barth, Bradley, Basello, Gina M., Bassaly, Renee, Bassily-Marcus, Adel, Baughn, Julie, Belakovskiy, Aleksandr, Ben-Ami, Ronen, Bencheqroun, Hassan, Bernstein, David I., Bernstein, Jonathan A., Beyer, Caroline, Biggerstaff, Kristin Schmid, Birt, Mitchell, Blum, William, Bolotin, Diana, Bonnema, Rachel A., Borenstein, David, Bossart, Christopher, Bowman, Deidra, Bragg, Dee Ann, Bragg, Scott, Brice, Sylvia L., Briggs, Allyson M., Brill, John, Brown, Rachel, Buckley, Peter F., Burns, Sarah, Byrd, Kenneth P., Cadavid, Diego, Caraccio, Thomas R., Carek, Peter J., Carrion, Andres F., Cass, Amanda S., Castell, Donald O., Catinella, Anthony P., Cayley, William E., Jr., Cerquozzi, Sonia, Cervera, Alvaro, Cetani, Filomena, Chamberlain, Rachel, Chan, Lawrence, Chan, Miriam, Chandramohan, Divya, Chang, Zenas, Chen, Jimmy, Chen, Lin Yee, Chihara, Shingo, Chitlur, Meera, Chohan, Saima, Christensen, Jacob, Chyu, Kuang-Yuh, Cigarroa, Joaquin E., Cleland, Paul, Cline, Matthew, Coates, Laura C., Colenbrander, August, Commins, Ryan, Conageski, Christine, Conly, John, Contini, Carlo, Cooper, Ashley, Cooper, Stacy, Cormier, Allison, Cunha, Burke A., Cunha, Cheston B., Curran, Thomas, Curry, Amy, Daines, Cori L., Damas, Oriana M., Damitz, Beth A., Datta, Nandini, Dattilo, Natalie C., Davaro, Raul, David, Kevin A., de Leon, André, de Leon, Tate, DeCastro, Alexei O., DeGeorge, Katharine C., DeLoughery, Thomas G., Deodhar, Atul, Desai, Urmi, Dessinioti, Clio, Diamond, Michael P., Dion, Christopher, Do, Catherine, Dobbs, Thomas, Donahue, Colleen A., Donnan, Geoffrey A., Dorsch, John N., Dougan, Michael, Douglas, Chad, Dowlatshahi, Dar, Dowler, Shannon, Drevets, Douglas, Dudley, Samuel C., Jr., Duggan, Peter R., Eagle, Kim A., Eck, Leigh M., El Atrouni, Wissam, Elston, Dirk M., Embil, John M., Epstein, Scott K., Evans, Susan, Evens, Andrew M., Fagan, J. Barry, Fairweather, Mark, Falk, Marni J., Faris, Anna, Faugno, Anthony J., III, Faust, Hilary, Fayssoux, Kinder, Feldman, Dorianne, Ferguson, Ian, Fife, Terry. D., Finley, David J., Firnhaber, Jonathon, Fisher, Lynn, Fisher, William E., Fleseriu, Maria, Fletcher, Donald, Foster, Jeffrey Michael, Frank, Jennifer, Freeman, Ellen W., Frenz, David A., Gaba, Ruchi, Gaines, Melissa, Garcia, Mark, Ghany, Marc G., George, Virgilio V., Ghazi, Muhammad Ahmad, Gibney, Geoffrey, Gilbert, Donald L., Gilchrist, Karissa, Gillaspie, Erin A., Gilotra, Tarvinder, Gladwin, Mark T., Gluckman, Stephen J., Goddard, Andrew W., Goerl, Kyle, Gold, Mark S., Goldstein, Amy, González-Fernández, Marlis, Goodwin, Gregory, Gosmanov, Aidar R., Gradoni, Luigi, Graham, Timothy P., Grant-Kels, Jane M., Grdinovac, Kristine, Greenberg, Leslie, Greene, William, Greensher, Joseph, Gregory, David, Greiwe, Justin, Hague, Melissa, Halder, Rebat, Hall, Alan M., Harris, Kari R., Harrison, Taylor B., Hartman, Adam L., Hayes, Erin, Haynes, James W., Heidelbaugh, Joel J., Hinshaw, Molly A., Hockenberry, Brandon, Hohl, Raymond J., Holguin, Therese, Holstein, Sarah A., Holyoak, Michael, Homan, Gretchen, Hommema, Kevin, Hommema, Laurie A.M., Horn, Leora, Hossani-Madani, Ahmad Reza, House, Steven A., Houssayni, Sarah, Hueston, William J., Huettemann, Richard, Huffstetler, Alison, Hunter, Anthony, Ibidapo-Obe, Oyetokunbo, Ing, Alice M., Irwin, Gretchen, Isaac, Daniel, Jackson, Alan C., Jackson-Tarlton, Caitlin, Jacobson, Kurt M., Jaller, Jose A., James, W. Ennis, Jeang, Lauren, Jha, Abhishek, Jia, Xiaoming, Johnson, Casey R., Johnson, Lisa M., Jolissaint, Joshua S., Judson, Marc A., Kadhiravan, Tamilarasu, Kalia, Rachna, Kamprath, Sagar, Kanter, Jessica Rachel, Karnad, Dilip R., Karnchanasorn, Rudruidee, Katsambas, Andreas, Katz, Ben, Katzman, Rebecca, Kaunitz, Andrew M., Keegan, B. Mark, Kellerman, Rick D., Kellermann, Scott, Kelly, Christina M., Khaki, Sheevaun, Kim, Arthur Y., Kim, Haejin, Kirsner, Robert S., Kiwalkar, Sonam, Knoefel, Janice, Kolb, Amanda, Kolla, Bhanu Prakash, Korley, Frederick, Kovalsky, Adrienne N., Krause, Megan, Kraut, Eric H., Krishnamurti, Lakshmanan, Krishnan, Kumar, Kuhlmann, Zachary, Kulkarni, Roshni, Kumar, Seema, Kwaan, Mary R., Kyle, Robert A., Lampton, Lucius M., Lange, Richard A., Langlois, Fabienne, Lau, Christine, Lawrence-Hylland, Susan, Lazaroff, Jake, Lee, Lydia U., Leikin, Jerrold B., Leikin, Scott, Leung, Alexander K.C., Levy-Clarke, Grace, LeWinter, Martin M., Lewis, Jennifer, Li, Ming, Liebenstein, Tyler, Lin, Albert P., Linder, Jeffrey A., Lock, James, Long, M. Chantel, Loo-Gross, Colleen, Lubsen, Julia R., Lun, Ronda, Mahvi, David (Sasha), Maiorella, RosaMarie, Malhotra, Uma, Manlove, Emily, Manson, JoAnn E., Mansukhani, Meghna, Marcocci, Claudio, Margo, Curtis E., Marker, Jason E., Martin, Paul, Mathis, Samuel E., Matson, Kristine, Matza, Mark A., Maxwell, Pinckney J., IV, May, Danica, Mazepa, Gregory Marshall, McClain, Molly, McGrew, Christopher, McGuigan, Christopher Charles, Mehta, Meetal, Meiselman, Mick S., Mercado, Moises, Merrell, Ryan, Meyers, Steven L., Michael, William, Miller, Brian J., Millington, Timothy M., Mirza, Moben, Mofenson, Howard C., Mogensen, Kris M., Moritz, Michael L., Mortada, Rami, Mortaji, Parisa, Moss, Heather E., Moul, Judd W., Muller, Martha, Murinova, Natalia E., Murphy, Michael, Muthusubramanian, Arjun, Nagji, Alykhan S., Naranjo, Laura, Nasim, Rabab, Nazari, Matthew A., Nazeef, Moniba, Neelakantan, Viswanathan K., Neff, Don, Neil, Tara, Nelson, William G., Neschis, David G., Nester, Theresa, Nguyen, Tam T., Nicol, Andrea L., Nieves-Arriba, Lucybeth, North, Crystal, Novac, Andrei, Novelli, Enrico M., Nye, Lauren, Obi, Andrea T., Okeson, Jeffrey P., Oliveira, Carlos R., Ong, Peck Y., Oram, Daniel S., Ortiz, David D., Ozgonenel, Bulent, Pacak, Karel, Padin-Rosado, Jose A., Padungkiatsagul, Tanyatuth, Paladine, Heather L., Pandolfino, John E., Patel, Deval, Patton, Simon, Penna, Gerson O., Penna, Maria Lucia, Perkins, Allen, Peterson, Leah, Petroianu, Georg A., Petronic-Rosic, Vesna M., Phan, Hanna, Pietroni, Mark, Plotnikoff, Gregory A., Pollart, Susan M., Poon, Jennifer, Porter, Andrew S.T., Powell, Charles, Pusateri, Margaret, Quinn, James M., Rahko, Peter S., Rajkumar, S. Vincent, Rajpara, Anand, Ramakrishnan, Kalyanakrishnan, Ramirez, Julio A., Rana, Jatin, Rank, Matthew A., Raoult, Didier, Rapose, Alwyn, Rau, Rachel E., Ravindran, Anita, Regehr, Jared, Reid, Ian R., Rennert-May, Elissa, Rew, Karl, Rezapour, Mona, Rhyne, Amanda, Riese, Martha, Robbins, David C., Robert, Sophie, Robertson, Amy D., Robinson, Malcolm, Roche, William P., Rohrberg, Tessa, Rose, Candice, Rose, Peter G., Ross, Stephen, Roth, Alan R., Ruha, Anne-Michelle, Rundell, Kristen, Said, Adnan, Sairenji, Tomoko, Samson, Susan L., Sanchez, Carlos E., Sangodkar, Sandeep, Santana, Arelis, Sarode, Ravindra, Schatz, Michael, Schevchuck, Alex, Schiller, Lawrence R., Schrager, Sarina, Schuller, Dan, Seashore, Justin, Seery, Amy, Seifert, Steven A., Semel, Jeffery D., Shaffi, Saeed Kamran, Shah, Beejal, Shah, Meera, Shah, Prediman Krishan, Shah, Shenil, Shammo, Jamile M., Shapiro, Eugene D., Sharara, Ala I., Sharma, Sonal, Sheehan, John P., Sherman, Kamille S., Shevy, Laura Elyse, Shew, Sable, Sierpina, Victor S., Sievers, Karlynn, Silk, Hugh, Simon, Lisa, Sinclair, Aaron D., Siraj, Dawd S., Smith, Jeannina, Smith, Zachary L., Soder, Rupal, Sojka, John, Somers, William J., Song, Mihae, Sosa, Nestor, Sowder, Timothy, Speer, Linda, St. Louis, Erik Kent, Stephens, Todd, Stiles, Melissa, Stratakis, Constantine, Stulberg, Daniel, Suárez, José D., Takashima, Masayoshi, Takyar, Varun, Talhari, Carolina, Tang, Jie, Tate, Jessica, Templeton, Kim, Teng, Joyce M.C., Thomson, Joanna, Tillett, William, Timbadia, Paresh J., Tobin, Kenneth, Tsaltas, Theodore T., Unizony, Sebastian H., Unruh, Mark, Uppendahl, Locke, Vallurupalli, Anusha, Van Buren, George, II, van Duin, David, Van Durme, Daniel J., Varlamov, Elena V., Veglia, Megan, Vélez, Christopher, Vercellotti, Gregory, Vincent, Kyle, Vinh, Donald C., Vyas, Jatin Mahesh, Wagner, Tamara, Wakefield, Thomas W., Wald, Arnold, Wald, Ellen R., Walker, Robin A., Wang, Ernest, Wang, Jennifer, Watanabe, Koji, Weber, Ruth, Wehler, Cheryl, Wei, Alice C., Weida, Jane A., Weissman, David N., Welliver, Robert C., Sr., Wester, Rebecca M., Wexler, Randell, Wilamowska, Katarzyna, Williams, Kimberly, Williams, Tracy L., Winterhoff, Boris, Wipperman, Jennifer, Wirtz, Mark W., Wittler, Robert, Wood, Gary S., Worswick, Scott, Wu, Dominic J., Wu, Steve W., Wyre, Hadley, Yakubov, Steven, Yang, Xinghong, Yang, Yul W., Yew, Kenneth S., Yi, Yooni, Yiannias, James A., Young, Natawadee, and Zea Vera, Alonso G.

Published
2023
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47. Contributors

Author

Aaronson, Emily L., Abbott, Ethan E., Abraham, Gallane, Abraham, Michael K., Agrait-Gonzalez, Miguel, Akhtar, Saadia, Aks, Steven E., Atchinson, Patricia Ruth, Auerbach, Marc, Aufderheide, Tom P., Banks, Laura L., Barksdale, Aaron N., Barrett, Whitney, Becker, Bruce M., Ben Ma, Zheng, Biese, Kevin, Biros, Michelle H., Bitterman, Robert A., Blackwell, Thomas H., Blum, Frederick C., Blumen, Ira J., Bolgiano, Edward B., Bond, Michael C., Bookman, Kelly, Borhart, Joelle, Boswell, Brittany, Brady, William J., Braithwaite, Sabina A., Brody, Aaron, Brown, Calvin A., III, Brown, David F.M., Brown, James E., Buchanan, Jennie Alison, Bukhman, Alice Kidder, Bullard-Berent, Jeffrey, Bunney, E. Bradshaw, Burton, John H., Caglar, Derya, Cahill, John D., Carlberg, David J., Chang, Andrew K., Chary, Michael A., Chen, Paul, Chumpitazi, Corrie E., Cico, Stephen John, Claudius, Ilene, Coates, Wendy C., Cole, Jon B., Colwell, Christopher B., Corbin, Theodore, Cooper, Robert, Corwell, Brian Niall, Curtis, Amelia M., D’Andrea, Shawn, Danzl, Daniel F., Davenport, Moira, Davis, Alysa S., Davis, Jonathan, Davis, Natalie L., Daya, Mohamud R., DeGeorge, Lindsey M., Derlet, Robert W., Dobiesz, Valerie A., Dupré, Alan A., Duran-Gehring, Petra, Easter, Joshua S., Edwards, Christopher J., Eilbert, Wesley P., Eiting, Erick, Elie-Turenne, Marie-Carmelle, Erickson, Timothy B., Eyre, Andrew J., Fairley, Romeo, Farrell, Susan E., Fath, John J., Fernandez-Frackelton, Madonna, Finnell, John T., Franco, Vanessa, Frazee, Bradley W., Friedman, Benjamin W., Gaddy, Jeremiah D., Ganetsky, Michael, Gausche-Hill, Marianne, Geiderman, Joel M., Germann, Carl A., Glass, George F., III, Glauser, Jonathan M., Godwin, Steven A., Goldberg, Scott A., Goodloe, Jeffrey M., Gorgas, Diane L., Green, Thomas J., Grossman, Shamai A., Guluma, Kama, Guttman, Joshua, Haas, Nathan L., Haines, Elizabeth J., Hajicharalambous, Christina, Hall, Matthew M., Halmo, Laurie Seidel, Hansoti, Bhakti, Harris, N. Stuart, Harrison, Nicholas, Hart, Danielle, Hatten, Benjamin W., Heine, Carlton E., Heiner, Jason D., Henn, Megan C., Hern, H. Gene, Jr., Hess, Jamie M., Hill, Adam D., Himelfarb, Nadine T., Hockberger, Robert S., Hogrefe, Christopher, Holland, Carolyn Kluwe, Holmes, James F., Hoppe, Jason A., Horeczko, Timothy, Hoyte, Christopher, Hsieh, Dennis, Hudson, Korin, Huesgen, Karl, Hwang, Ula, Iserson, Kenneth V., Iwanicki, Janetta L., Jagoda, Andy, James, Thea, Jewell, Corlin, Johnson, Nicholas J., Jones, Alan E., Jones, Emily M., Jouriles, Nicholas J., Kabrhel, Christopher, Kaide, Colin G., Kaji, Amy H., Kaplan, Julius (Jay) A., Kayden, Stephanie, Kearney, Ryan D., Kelly, Matthew P., Kim, Hyung T., Kivlehan, Sean M., Koenig, Kristi L., Kosowsky, Joshua M., Koval, Christine E., Koyfman, Alex, Kurz, Michael C., Lall, Michelle D., Lang, Spenser C., Lee, Jeffrey E., Lei, Charles, Levine, Michael D., Levy, Matthew J., Levy, Phillip D., Lim, Christopher S., Lindberg, Daniel, Lipsky, Ari M., Liu, J. Marc, Long, Brit, Macias-Konstantopoulos, Wendy, Maciel, Carolina Barbosa, Maher, Patrick J., Maloney, Gerald E., Jr, Maloney, Patrick J., Marco, Catherine Anna, Marill, Keith A., Martinez, Joseph P., Matlock, Aaron G., Mayersak, Ryanne J., May, Larissa S., McCoin, Nicole S., McCurdy, Michael T., McKinzie, Jeffry, Meaden, Christopher W., Meehan, Timothy J., Mehta, Niyati, Meurer, William J., Mick, Nathan W., Miloslavsky, Eli M., Miner, James R., Mohr, Nicholas M., Moll, Joel, Monas, Jessica, Monte, Andrew A., Montgomery, Martha M., Moore, Malia J., Moran, Gregory J., Mycyk, Mark B., Nable, Jose V., Nagler, Joshua, Nassisi, Denise, Nathan, Joshua B., Nelson, Lewis S., Nelson, Michael E., Newton, Kim, Nguyen, Thomas, Nicholson, Adam M., Nickels, L. Connor, Nikolaides, Jenna Karagianis, Nite, Micah J., Nitzberg, Michael, Norman, Marquita S., Norse, Ashley Booth, Nowak, Richard M., Ogunniyi, Adedamola A., Overbeek, Daniel L., Padlipsky, Patricia, Palmer, Jessica, Papa, Linda, Peak, David A., Pedigo, Ryan Anthony, Perkins, Jack, Jr, Pfaff, James A., Pfennig, Camiron L., Phelan, Michael P., Pierce, Ava E., Platt, Melissa A., Pontius, Elizabeth P.D., Pour, Trevor R., Preston-Suni, Kian, Price, Timothy G., Prince, William B., Probst, Marc, Pulia, Michael, Puskarich, Michael A., Quest, Tammie E., Raja, Ali S., Raukar, Neha P., Reardon, Robert F., Reed, Kevin C., Richards, David B., Rischall, Megan L., Robinson, Daniel W., Rodenberg, Howard, Roginski, Matthew A., Roline, Chad E., Rose, Emily, Rose, Jeremy, Rose, Nicholas G.W., Rosen, Tony, Ross, Weston, Rudy, C. Craig, Ruha, Anne-Michelle, Rybarczyk, Megan M., Sachs, Carolyn Joy, Salzberg, Matthew, Sánchez, León D., Sanders, Arthur B., San Miguel, Christopher E., Scarfone, Richard J., Schmidt, Andrew, Schmitt, Eric R., Schnapp, Benjamin H., Schoener, Benjamin, Schultz, Carl H., Seethala, Raghu, Seiden, Jeffrey A., Seigel, Todd A., Selby, Sarah Tolford, Self, Wesley H., Sexton, Joseph, Shaikh, Huma, Shapiro, Michael A., Shapiro, Nathan I., Shappell, Eric, Shapshak, Dag, Sharp, Andrea C., She, Trent, Shetty, Pranav, Shewakramani, Sanjay N., Shreves, Ashley, Simon, Barry C., Simon, Leslie V., Singh, Manpreet, Singh, Sonia, Skolnik, Aaron B., Slovis, Corey M., Smereck, Janet, Smith, Clay, Sokolove, Peter E., Soskin, Philippa, Soulek, Jaron, Southerland, Lauren T., Springer, Brian L., Stenson, Bryan A., Stoklosa, Hanni, Tainter, Christopher R., Takhar, Sukhjit S., Tang, Nelson, Taylor, Todd Andrew, Theobald, Jillian L., Thiessen, Molly E.W., Thomas, Anita A., Thomas, Natasha, Thompson, Holly, Thompson, Trevonne M., Thornton, Joseph E., Tyndall, J. Adrian, VanRooyen, Michael, Verbillion, Meagan B., Vohra, Taher T., Vojta, Leslie R., Waasdorp, Christopher P., Jr, Wacker, David A., Wagner, Mary Jo, Walker, Laura E., Wallenstein, Joshua, Walls, Ron M., Wang, George Sam, Wardi, Gabriel, Waxman, Matthew A., Weichenthal, Lori, Welker, Katherine Louise, Wessel, Amanda L., White, Benjamin, White, William, Wilcox, Susan R., Williamson, Craig A., Wolfson, Allan B., Wu, Andrea W., Yealy, Donald M., Young, Henry W., II, Zafren, Ken, Zdradzinski, Michael J., Zink, Brian J., and Zun, Leslie S.

Published
2023
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