Citation

Mania A, Jowik K, Mazur-Melewska K, Kemnitz P, Służewski W, Figlerowicz M. Pediatr. Pol. 2018; 93(4): 349-352.

Copyright

(Copyright © 2018, Elsevier Publishing)

DOI

10.5114/polp.2018.78001

PMID

unavailable

Abstract

We present a case of a 15-year-old girl who was admitted to hospital due to vomiting, diarrhoea, jaundice, and fever, which were observed for about a week. Liver dysfunction was found in laboratory tests, and the diagnostic process suggested autoimmune hepatitis. Anamnesis and new information from the patient's family members led to the diagnosis of toxic liver disease after intentional paracetamol abuse for a suicide attempt. There were some essential risk factors: teenage, female sex, serious family troubles. The use of paracetamol for the purpose of suicide is a frequent phenomenon. Because of the increasing number of suicides in teenagers in Poland, it seems to be important to remind to paediatricians about their reasons and risk groups, as well as about clinical and laboratory symptoms of paracetamol poisoning. © 2018 Termedia Publishing House Ltd.. All rights reserved.

Language: en

Keywords

adolescent; human; Poland; Children; female; case report; suicide attempt; risk factor; pediatrician; vomiting; family life; clinical article; drug intoxication; human tissue; high risk population; paracetamol; diarrhea; fever; Paracetamol; liver toxicity; liver dysfunction; laboratory test; Article; jaundice; autoimmune hepatitis; Hepatitis; Toxic liver disease