Journal of Clinical Toxicology

Journal of Clinical Toxicology
Open Access

ISSN: 2161-0495

+44 1478 350008

Joseph K Maddry

Department of Emergency Medicine, San Antonio Uniformed Services Health Education Consortium, 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234, United States

  • Case Report   
    Delayed Toxicity in an Isolated Extended-Release Acetaminophen Ingestion: A Case Report
    Author(s): Brannon L Inman*, Lloyd Tannenbaum, Joseph K Maddry and Sarah Bridsong

    Acetaminophen is a common toxic ingestion and the leading cause of acute liver failure in the United States. There exists a relative paucity of evidence in guiding management of acetaminophen Extended-Release ingestions compared to immediate-release ingestions. Many case reports involving Extended-Release acetaminophen ingestion are confounded by co-ingestion, resulting in a delayed peak acetaminophen level. Few reports have been published involving pure acetaminophen Extended-Release ingestion with a late crossing of the Rumack-Matthew nomogram. We present a case of witnessed isolated acetaminophen Extended-Release ingestion in an 18-year-old male, resulting in an acetaminophen level crossing the Rumack-Matthew nomogram treatment threshold at 21 hours post-ingestion... View More»
    DOI: 10.35248/2161-0495.21.11.483

    Abstract HTML PDF