Volume 24
Number 4
Sep 2016
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Case Reports
B.J.W. Eikemans, R. Mauritz, D.J. van Westerloo

We describe a patient who presented with an early lactic acidosis and reduced consciousness after an acetaminophen overdose. Although infrequently recognised, early lactic acidosis after acetaminophen poisoning is actually not uncommon and is related to mitochondrial toxicity induced by a toxic metabolite and the acetaminophen itself. Therefore, acetaminophen intoxication should be suspected in patients with altered mental status and lactic acidosis.

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