PARACETAMOL POISONING

#78ToxicologyTable

PARACETAMOL POISONING

Patient SRC
Patient S., female, 31 years old. Family issues led to divorce, causing the patient to take 50 paracetamol tablets at once. Three days later, she sought help, complaining of excessive drowsiness and loss of appetite. No vomiting occurred after taking the tablets. Her statement was questioned by several doctors, but she insisted she counted the tablets. Her ex-husband, still caring for her, was informed that she would likely need hemodialysis, but not at home. Medical examination: Drowsiness, lethargy, jaundice. Due to dehydration, she received intravenous fluids.

She was offered to try IR therapy, with the understanding that if unsuccessful, she would need daily hemodialysis based on further assessment, to which she agreed.

A 5-day treatment course was conducted, mainly using the RC emitter on the liver (a reaction to this emitter was noted with EAF). The results were very interesting; jaundice did not progress, and all liver enzymes normalized. Blood biochemical markers are as follows:

Day

Before treatment

Day 1

Day 2

Day 3

Day 7

Date

13/9/98

14/9/98

15/9/98

23/9/98

Total bilirubin

1.8

1.4

1.1

1.0

1.0

Direct bilirubin

1.5

0.9

0.4

0.6

0.5

Indirect bilirubin

0.3

0.5

0.7

0.4

0.5

Total protein

71

56

66

63

72

Albumin

34

27

31

30

37

Globulin

37

29

35

33

35

A/g ratio

0.9

0.9

0.9

1.0

1.1

Alp

55

51

51

64

52

AСT

1884

1412

1000

782

15

ALT

2252

1028

561

252

27


The patient was discharged from the hospital after 4 days, and a test a week later showed that liver enzymes were normal. She survived without hemodialysis, and jaundice did not progress. No side effects were observed. Comments: The treatment yielded excellent results. It is recommended to study more cases of poisoning accompanied by liver damage in the future.