The Role of Acetyl Cysteine in Cocaethylene (Non-Acetaminophen) Acute Liver Failure
المؤلفون المشاركون
Kalantari, Hossein
Dhaliwal, Amaninder
Jenninigs, Catherine Ann
Worku Hassen, Getaw
المصدر
Case Reports in Emergency Medicine
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-4، 4ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-09-26
دولة النشر
مصر
عدد الصفحات
4
التخصصات الرئيسية
الملخص EN
Background.
Acute liver failure can result from acetaminophen overdose, viral infection, toxins, and other disease conditions.
Liver transplant is available in limited fashion and the criteria are strict as to who should get an available liver.
N- Acetyl Cysteine (NAC) has been used in non-acetaminophen induced liver failure with success.
Here we report a case of acute liver failure from cocaethylene that was reversed with NAC along with other medical therapy.
Case Presentation.
A 50-year-old female patient presented to the Emergency Department (ED) with a two-day history of coffee ground vomiting and hematemesis.
She reported occasional substance abuse and heavy alcoholism.
She reported shortness of breath and chest pain from the recurrent forceful vomiting.
The rest of the review of systems was unremarkable except a fall from intoxication.
Physical examination revealed anicteric conjunctiva and nontender abdomen and her vital signs were within normal limits.
Initial blood work revealed acute liver and renal failure.
The patient was started with general medical management and liver transplant service rejected the case due to active substance abuse.
She underwent brief hemodialysis and was started on NAC.
Over the course of her hospital stay her liver function and kidney function improved significantly and patient was discharged to home.
Conclusion.
In cases where liver transplant is not an option for various reasons including active substance abuse, a trial of N-Acetyl Cysteine may be beneficial and should be considered in the Emergency Department.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Worku Hassen, Getaw& Dhaliwal, Amaninder& Jenninigs, Catherine Ann& Kalantari, Hossein. 2018. The Role of Acetyl Cysteine in Cocaethylene (Non-Acetaminophen) Acute Liver Failure. Case Reports in Emergency Medicine،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1143185
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Worku Hassen, Getaw…[et al.]. The Role of Acetyl Cysteine in Cocaethylene (Non-Acetaminophen) Acute Liver Failure. Case Reports in Emergency Medicine No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1143185
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Worku Hassen, Getaw& Dhaliwal, Amaninder& Jenninigs, Catherine Ann& Kalantari, Hossein. The Role of Acetyl Cysteine in Cocaethylene (Non-Acetaminophen) Acute Liver Failure. Case Reports in Emergency Medicine. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1143185
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1143185
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر