Successful Management of Delayed Presentation of Massive Paracetamol Overdose in a Resource-limited Setting: A Case Report from Nepal

Overview

Journal Clin Case Rep

Date 2022 Dec 16

PMID 36523377

Authors

Pratik Lamichhane

Kailash Mani Pokhrel

Bijay Bhandari

Anushka Agrawal

Bhumika Ghimire

Olita Shilpakar

Affiliations

Soon will be listed here.

Abstract

We present a case of self-poisoning with a massive dose of paracetamol by a young Nepalese female patient who presented late to our emergency department. This report highlights the successful management of the patient with the extended use of N-acetylcysteine over 4 days and continuous supportive therapy as required. The case is an example of the management of delayed presentation of a massive paracetamol poisoning in a resource-limited setting, where intensive care units and hemodialysis facilities are not easily available. However, when available, massive poisoning should always be managed in continuous monitoring units under the expertise of a toxicologist.

Citing Articles

Successful management of delayed presentation of massive paracetamol overdose in a resource-limited setting: A case report from Nepal.

Lamichhane P, Pokhrel K, Bhandari B, Agrawal A, Ghimire B, Shilpakar O Clin Case Rep. 2022; 10(12):e6733.

PMID: 36523377 PMC: 9744716. DOI: 10.1002/ccr3.6733.

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