Recovery of acetaminophen-induced fulminant hepatic failure and encephalopathy after ten days of intravenous N-acetylcysteine administration in twin boys | Zendy

Abdullah Altamimi | Zendy; Ahmed Abusibah | Zendy; Ali Almajed | Zendy; Faisal Al Gamdi | Zendy; Saleh AlManea | Zendy; Barrak AlDosary | Zendy

Open Access

Recovery of acetaminophen-induced fulminant hepatic failure and encephalopathy after ten days of intravenous N-acetylcysteine administration in twin boys

Author(s) -

Abdullah Altamimi,

Ahmed Abusibah,

Ali Almajed,

Faisal Al Gamdi,

Saleh AlManea,

Barrak AlDosary

Publication year - 2017

Publication title -

journal of clinical and experimental dermatology research

Language(s) - English

Resource type - Journals

ISSN - 2155-9554

DOI - 10.4172/2155-9554.1000334

Subject(s) - acetylcysteine , medicine , acetaminophen , fulminant hepatic failure , encephalopathy , hepatic encephalopathy , administration (probate law) , fulminant , omics , anesthesia , acetaminophen overdose , liver failure , pharmacology , bioinformatics , cirrhosis , biochemistry , chemistry , transplantation , liver transplantation , antioxidant , biology , political science , law

We describe a case of liver failure in twin infants after frequent therapeutic doses of acetaminophen over 4 days at home to manage pyrexia due to a viral illness. The children were treated successfully with intravenous N-acetylcysteine (NAC) following the hospital’s protocol. This case highlights the importance of parental awareness of acetaminophen hepatotoxicity and physicians’ advice to parents in preventing hepatotoxicity induced by acetaminophen overdose during viral illness. Although Twin 1 met the King’s College Hospital criteria for liver transplantation, he was successfully treated with intravenous N-acetylcysteine for 10 days.

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