Journal of medical toxicology : official journal of the American College of Medical Toxicology
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Botulism Type F, a Rare Type of Botulism that Can Masquerade as a Posterior Fossa Stroke

May 26, 2026

The authors aim to highlight the clinical presentation and diagnostic challenges of Type F botulism, a rare variant that can mimic posterior fossa stroke symptoms. They present a case of a 41-year-old woman whose rapid progression of neurological symptoms led to a diagnosis of Type F botulism, emphasizing the importance of recognizing such atypical presentations and the need for timely antitoxin treatment to improve patient outcomes.

Apixaban Overdose with Massive Bleeding and Anti-Xa Levels

Apr 13, 2026

The authors investigate the clinical implications of a significant apixaban overdose, specifically examining the occurrence of massive bleeding and the behavior of anti-Xa levels in such cases. They present a case of a 70-year-old male who experienced severe gastrointestinal hemorrhage and subdural hematomas after ingesting a large dose of apixaban, highlighting the need for aggressive treatment and monitoring of anti-Xa levels, which showed a first-order elimination pattern despite the overdose. This case underscores the potential for life-threatening bleeding from factor Xa inhibitor overdoses, despite their rarity.

n-Hexane-Toxic Neuropathy Presenting with Cauda Equina Inflammation

Mar 26, 2026

This case study investigates the occurrence of n-hexane-toxic neuropathy presenting with cauda equina inflammation, a condition not previously reported. The authors highlight the importance of considering n-hexane exposure in patients with polyneuropathy and cauda equina symptoms, suggesting that sural nerve biopsy may be a useful diagnostic tool in such cases. The patient's recovery following intravenous immunoglobulin therapy underscores the potential for improvement with appropriate treatment.