title: [Acetaminophen (paracetamol) causing renal failure: report on 3 pediatric cases].
abstract: Renal failure secondary to acetaminophen poisoning is rare and occurs in approximately 1-2 % of patients with acetaminophen overdose. The pathophysiology is still being debated, and renal acetaminophen toxicity consists of acute tubular necrosis, without complication if treated promptly. Renal involvement can sometimes occur without prior liver disease, and early renal manifestations usually occur between the 2nd and 7th day after the acute acetaminophen poisoning. While therapy is exclusively symptomatic, sometimes serious metabolic complications can be observed. The monitoring of renal function should therefore be considered as an integral part of the management of children with acute, severe acetaminophen intoxication. We report 3 cases of adolescents who presented with acute renal failure as a result of voluntary drug intoxication with acetaminophen. One of these 3 girls developed severe renal injury without elevated hepatic transaminases. None of the 3 girls' renal function required hemodialysis, but one of the 3 patients had metabolic complications after her acetaminophen poisoning.
authors.affiliation: Service de pédiatrie médicale, CHU de Caen, avenue de la Côte-de-Nacre, 14033 Caen, France. justine.levaillant@yahoo.com
authors.forename: J
authors.initials: J
authors.lastname: Le Vaillant
authors.forename: L
authors.initials: L
authors.lastname: Pellerin
authors.forename: J
authors.initials: J
authors.lastname: Brouard
authors.forename: P
authors.initials: P
authors.lastname: Eckart
mesh_terms: D000082:Acetaminophen / Q000506:poisoning*; D058186:Acute Kidney Injury / Q000139:chemically induced; D000293:Adolescent; D003404:Creatinine / Q000097:blood / Q000652:urine; D062787:Drug Overdose / Q000150:complications*; D005260:Female; D005500:Follow-Up Studies; D006417:Hematuria / Q000139:chemically induced; D006801:Humans; D007683:Kidney Tubular Necrosis, Acute / Q000139:chemically induced; D017114:Liver Failure, Acute / Q000139:chemically induced; D011507:Proteinuria / Q000139:chemically induced; D051437:Renal Insufficiency / Q000139:chemically induced*
chemical_list: D000082:Acetaminophen; D003404:Creatinine