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

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 th...

Descripción completa

Detalles Bibliográficos
Autores principales: Lamichhane, Pratik, Pokhrel, Kailash Mani, Bhandari, Bijay, Agrawal, Anushka, Ghimire, Bhumika, Shilpakar, Olita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9744716/
https://www.ncbi.nlm.nih.gov/pubmed/36523377
http://dx.doi.org/10.1002/ccr3.6733
_version_ 1784848983044128768
author Lamichhane, Pratik
Pokhrel, Kailash Mani
Bhandari, Bijay
Agrawal, Anushka
Ghimire, Bhumika
Shilpakar, Olita
author_facet Lamichhane, Pratik
Pokhrel, Kailash Mani
Bhandari, Bijay
Agrawal, Anushka
Ghimire, Bhumika
Shilpakar, Olita
author_sort Lamichhane, Pratik
collection PubMed
description 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.
format Online
Article
Text
id pubmed-9744716
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-97447162022-12-14 Successful management of delayed presentation of massive paracetamol overdose in a resource‐limited setting: A case report from Nepal Lamichhane, Pratik Pokhrel, Kailash Mani Bhandari, Bijay Agrawal, Anushka Ghimire, Bhumika Shilpakar, Olita Clin Case Rep Case Report 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. John Wiley and Sons Inc. 2022-12-12 /pmc/articles/PMC9744716/ /pubmed/36523377 http://dx.doi.org/10.1002/ccr3.6733 Text en © 2022 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Lamichhane, Pratik
Pokhrel, Kailash Mani
Bhandari, Bijay
Agrawal, Anushka
Ghimire, Bhumika
Shilpakar, Olita
Successful management of delayed presentation of massive paracetamol overdose in a resource‐limited setting: A case report from Nepal
title Successful management of delayed presentation of massive paracetamol overdose in a resource‐limited setting: A case report from Nepal
title_full Successful management of delayed presentation of massive paracetamol overdose in a resource‐limited setting: A case report from Nepal
title_fullStr Successful management of delayed presentation of massive paracetamol overdose in a resource‐limited setting: A case report from Nepal
title_full_unstemmed Successful management of delayed presentation of massive paracetamol overdose in a resource‐limited setting: A case report from Nepal
title_short Successful management of delayed presentation of massive paracetamol overdose in a resource‐limited setting: A case report from Nepal
title_sort successful management of delayed presentation of massive paracetamol overdose in a resource‐limited setting: a case report from nepal
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9744716/
https://www.ncbi.nlm.nih.gov/pubmed/36523377
http://dx.doi.org/10.1002/ccr3.6733
work_keys_str_mv AT lamichhanepratik successfulmanagementofdelayedpresentationofmassiveparacetamoloverdoseinaresourcelimitedsettingacasereportfromnepal
AT pokhrelkailashmani successfulmanagementofdelayedpresentationofmassiveparacetamoloverdoseinaresourcelimitedsettingacasereportfromnepal
AT bhandaribijay successfulmanagementofdelayedpresentationofmassiveparacetamoloverdoseinaresourcelimitedsettingacasereportfromnepal
AT agrawalanushka successfulmanagementofdelayedpresentationofmassiveparacetamoloverdoseinaresourcelimitedsettingacasereportfromnepal
AT ghimirebhumika successfulmanagementofdelayedpresentationofmassiveparacetamoloverdoseinaresourcelimitedsettingacasereportfromnepal
AT shilpakarolita successfulmanagementofdelayedpresentationofmassiveparacetamoloverdoseinaresourcelimitedsettingacasereportfromnepal

Ejemplares similares