From: Acetaminophen-cysteine adducts during therapeutic dosing and following overdose
Patient number | Age/ Sex | Peak ALT IU/L | Case description |
---|---|---|---|
 |  |  | Acute acetaminophen treated within 8 hours of ingestion |
D-01 | 26 F | 37 | 40 unknown strength tabs. 4.5 hr [APAP] 230 mcg/ml. 6.5 hrs to NAC. |
D-02 | 20 F | 18 | 20 g. 2.5 hr [APAP] 262 mcg/ml. 5 hr to NAC. |
D-04 | 35 F | 26 | 10-13 g. 6 hr [APAP] 177 mcg/ml. 7 hr to NAC. |
D-06 | 20 F | 17 | Approx 30 tabs unknown strength. 4 hr [APAP] 319 mcg/ml. 6 hr to NAC. |
SH-03 | 55 F | 16 | 10.4 g. 4 hr [APAP] 184 mcg/ml. 6 hr to NAC. |
SH-04 | 22 M | 9903 | 25 g. 5 hr [APAP] 221 mcg/ml. 7 hr to NAC. |
SH-05 | 38 F | 57 | 39 g. 13 hr [APAP] 296 mcg/ml. 3.5 hr to NAC. |
SH-06 | 16 F | 14 | "3 handfuls" of unknown product. 4 hr [APAP] 293 mcg/ml. 5.5 Hr to NAC. |
SH-07 | 24 M | 27 | 13-16.5 g. 6 hr [APAP] 235 mcg/ml. 8 hr to NAC. |
SH-12 | 42 M | 30 | Unknown amount. 4 hr [APAP] 215 mcg/ml. 7 hr to NAC. |
UCH-05 | 27 F | 1729 | 48 gm. 1 hr [APAP] 557 mcg/ml. 5.5 hr to NAC. |
UCH-06 | 51 F | 22 | 19.5-53 g. 3 hr [APAP] 467 mcg/ml. 5 hr to NAC. |
 |  |  | Acute acetaminophen treated more than 8 hours post ingestion |
D-05 | 25 F | 18 | Unknown amount. 8 hr [APAP] 373 mcg/ml. 9 hr to NAC. |
D-07 | 38 M | 8880 | 7 g. 41 hr [APAP] 9 mcg/ml. 49 hr to NAC. Hep C. |
D-08 | 37 F | 1999 | 5 g × 2 8 hrs apart. 12 hr (from first ingestion) [APAP] 121 mcg/ml. 13 hr to NAC. |
SH-08 | 37 F | 1362 | 13-16 g. 10 hr [APAP] 89 mcg/ml. Time to NAC 15 hr. |
UCH-01 | 52 F | 457 | 15-25 g. 24 hr [APAP] 10 mcg/ml. Time to NAC 26 hr. |
UCH-07 | 40 F | 2083 | Unknown amt. 27 hr [APAP] 336 mcg/ml. Time to NAC 28 hr. |
UCH-14 | 41 F | 4372 | 30 g. 36 hr [APAP] 5.6 mcg/ml. Time to NAC 36 hr. |
 |  |  | Repeated acetaminophen ingestion |
D-00 | 27 M | 741 | Approximately 10 g/day for 4 d for dental pain. Presenting [APAP] 0 mcg/ml. |
D-18 | 17 M | 229 | Approximately 4 g/day for 2 d then 8 g/day for 1 day for prevertebral abscess. Presenting [APAP] 20 mcg/ml. |
D-19 | 44 F | 2862 | 4-6 g/day for 4 days then 25-50 g OD. 60 hr [APAP] 0 mcg/ml. NAC 14.5 hr post OD. |
UCH-03 | 28 F | 3189 | 2-3 tabs unknown str every 2-4 hrs for 7 d. Presenting [APAP] 16 mcg/ml. |
UCH-08 | 29 F | 2099 | Approx 12 gm over 14 hrs. Presenting [APAP] 0 mcg/ml. |
UCH-09 | 38 F | 284 | 21 g over 5 d. Presenting [APAP] 0 mcg/ml. CMV hepatitis on liver biopsy. |
UCH-11 | 24 M | 7979 | 5-7.5 g/day for 4 d. presenting [APAP] 0 mcg/ml. |
 |  |  | Acetaminophen ingestion-not able to determine time course |
UCH-15 | 29 F | 131 | Unknown amt over several hours. Presenting [APAP] 36 mcg/ml. Polypharmacy OD. |
 |  |  | Ingestion of other hepatotoxins |
D-16 | 12 M | 2346 | Isoniazd-induced liver injury during therapeutic use. |
SH-01 | 47 M | 174 | 1500 mg of tramadol. Alcoholic |
SH-02 | 24 M | 18 | 9.5 g of valproic acid. |
SH-09 | 18 F | 18 | 8 g phenytoin. |