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. 2020 Sep 7;7:1172–1177. doi: 10.1016/j.toxrep.2020.08.025

Table 2.

Information concerning patients with liver injury.

Gender, age, circumstances Paracetamol taken dose Paracetamol serum concentration Clinical signs AST/ALT rates Treatment Evolution
Female, 15 year-old, voluntary poisoning by paracetamol/codeine 38 g 107.3 mg/L at 5 h post-ingestion. 6.7 mg/L at 48 h post-ingestion Dizziness, vomiting and abdominal pain AST : 91 IU/L ALT : 169 IU/L Activated charcoal, oral NAC Favorable
Female, 26 months, accidental exposure to paracetamol NIP 2.4 mg/L on day 10 post-ingestion Altered state of consciousness, hepatomegaly on palpation, sub-jaundice, hematemesis, hypoglycemia, hepatic encephalopathy, convulsions 100 x ULN Ventilation, fentanyl, diazepam Died after cardiac arrest
Female, 2 year-old, accidental exposure of paracetamol and amoxicillin 1.5 g 0.6 mg/L at 2 h post-ingestion Liver injury 4 x ULN Oral NAC Favorable
Male, 26 year-old, hypertensive patient, suspicion of paracetamol poisoning NIP 0.8 mg/L (delay post-ingestion not precised) Edema, palpebral epistaxis, coma post-anoxic following a cardioresp arrest, fever, suspicious hepatic encephalithy NIP Gastric lavage, hypnovel, fentanyl Died few days after admission
Male, 34 year-old, poly-drug voluntary poisoning : risperidone, ibuprofen, paracetamol/triprolidine/pseudoephedrine, levomepromazine, Nebivolol, etc.) NIP 8.9 mg/L (delay post-ingestion not precised)
Presence of amitriptyline and phenothiazines in urine
Cyanose, coma carus, collapse NIP Not received Died after cardiac arrest
Pregnant female, 20 year-old, voluntary poisoning by paracetamol, anti-inflammatory, haloperidol, bleach cleaning solution NIP The dosage of paracetamol in serum has not been done Agitation, polypnea, blurred vision, hearing loss, hypotonic diuresis NIP NIP Mydriasis, hemorrhage and convulsions then Death
Male, 28 year-old, HIV positive, suspicion of paracetamol poisoning NIP Absence of paracetamol in serum Agitations, hepatic encephalopathy, acute liver failure NIP Not received Died 3 days after admission
Female, 10 year-old, therapeuticoverdose of paracetamol and acetylsalycilic acid 300 mg every 4 h for 2 days The dosage of paracetamol in serum has not been done. Presence of paracetamol and acetylsalycilic acid in urine Hematemesis, hemorrhagic hepatitis NIP NIP Favorable

NIP:No Informations Provided.