title: Therapeutic misadventure with paracetamol in children.
abstract: Paracetamol (acetaminophen), though considered a safe, "over the counter" analgesic and antipyretic, can cause liver injury with overdose. Therapeutic misadventure is a unique problem where the existing nomogram used for acute poisoning is not applicable. In this context, early initiation of N-acetylcysteine even before a biochemical evidence of liver injury may be beneficial. A series of 6 children with this type of paracetamol overdose are presented here to increase the awareness and understanding of this problem since no such data is available from India.
authors.affiliation: Sundaram Medical Foundation, Dr. Rangarajan Memorial Hospital, Shanthi Colony, IV Avenue Annanagar, Chennai 600 040, India.
authors.forename: So
authors.initials: S
authors.lastname: Shivbalan
authors.forename: Malathi
authors.initials: M
authors.lastname: Sathiyasekeran
authors.forename: Kuruvilla
authors.initials: K
authors.lastname: Thomas