Elimination drives recovery in amatoxin-induced acute liver failure A globally applicable management framework: preserving toxin elimination enables transplant-free recovery

This prospective single-arm clinical trial demonstrates that a proactive management framework focused on preserving toxin elimination through sustained hydration, octreotide-induced suppression of enterohepatic circulation, and early silibinin administration achieves a 98.8% transplant-free recovery rate in amatoxin-induced acute liver failure.

Mitchell, S. T., Spyker, D., Robbins, G. + 1 more2026-03-05📄 toxicology

Reproducible metabolomic fingerprinting strengthens postmortem evaluation of insulin intoxication

This study demonstrates that a reproducible postmortem metabolomic fingerprint, identified via high-resolution mass spectrometry in a national cohort of 51 fatal insulin intoxications, can reliably distinguish insulin-induced deaths from other causes even after insulin degradation, offering a valuable complementary tool for forensic diagnosis.

Elmsjö, A., Söderberg, C., Tamsen, F. + 3 more2026-03-02📄 toxicology