1. Possible fatal acetaminophen intoxication with atypical clinical presentation.
- Author
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De-Giorgio F, Lodise M, Chiarotti M, d'Aloja E, Carbone A, and Valerio L
- Subjects
- Acetaminophen blood, Acute Kidney Injury chemically induced, Analgesics, Non-Narcotic blood, Disseminated Intravascular Coagulation pathology, Epidermolysis Bullosa pathology, Female, Forensic Pathology, Forensic Toxicology, Humans, Kidney pathology, Liver pathology, Middle Aged, Muscle, Skeletal pathology, Myocardial Ischemia pathology, Rhabdomyolysis pathology, Skin pathology, Acetaminophen poisoning, Analgesics, Non-Narcotic poisoning, Disseminated Intravascular Coagulation chemically induced, Epidermolysis Bullosa chemically induced, Myocardial Ischemia chemically induced, Rhabdomyolysis chemically induced
- Abstract
Acetaminophen or paracetamol, a commonly used over-the-counter analgesic, is known to elicit severe adverse reactions when taken in overdose, chronically at therapeutic dosage or, sporadically, following single assumptions of a therapeutic dose. Damage patterns including liver damage and, rarely, acute tubular necrosis or a fixed drug exanthema. We present a case of fatal acetaminophen toxicity with postmortem blood concentration 78 μg/mL and unusual clinical features, including a visually striking and massive epidermolysis and rhabdomyolysis, disseminated intravascular coagulation and myocardial ischemia. This case is compared with the most similar previous reports in terms of organ damage, clinical presentation, and cause of death. We conclude that a number of severe patterns of adverse effects to acetaminophen are emerging that were previously greatly underestimated, thus questioning the adequacy of the clinical spectrum traditionally associated with acetaminophen intoxication and leading to the need to review this spectrum and the associated diagnostic criteria., (© 2013 American Academy of Forensic Sciences.)
- Published
- 2013
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