Abstract

HERRERA, Soledad et al. Intentional paracetamol poisoning in adolescents. A growing health problem. Clinical case study. Arch. Pediatr. Urug. [online]. 2023, vol.94, n.2, e309.  Epub Dec 01, 2023. ISSN 0004-0584.  https://doi.org/10.31134/ap.94.2.15.

Paracetamol intoxication due to an unintentional cause in young children, and intentional in adolescents, is an increasingly frequent cause for consultation in emergency services. The severity and prognosis of this poisoning is due to the risk of liver failure. Given the suspicion of paracetamol ingestion, the time passed since the ingestion, the amount of paracetamol ingested, the estimate of the dose ingested to predict hepatotoxicity, we must determine the necessary decontamination measures and the paracetamol dose in blood and evaluate the need to administer a paracetamol antidote. We describe the case of an adolescent who presented acute paracetamol poisoning with risk of liver damage resulting from a suicide attempt and who required digestive decontamination, antidote administration and an interdisciplinary approach to her psychological and emotional problems.

Keywords : Acetaminophen; Toxicity; Suicide attempt; Adolescent.

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