Paracetamol overdose presenting with hyperglycaemia, acidosis and ketonuria in a non-diabetic patient

Paracetamol overdose presenting with hyperglycaemia, acidosis and ketonuria in a non-diabetic patient

Abstract

There are a number of cases reported in the literature which describe hyperglycaemia in patients following paracetamol overdose. The majority of these occur in conjunction with hepatic failure. Less well known is the occurrence of hyperglycaemia and acidosis following paracetamol overdose in the absence of hepatic failure. This report describes such a case which was initially misdiagnosed as diabetic ketoacidosis (DKA).
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Paracetamol overdose presenting with hyperglycaemia, acidosis and ketonuria in a non-diabetic patient

3rd March 2016
PMID: 21603675
Authors Affiliations
Caroline MacFie BSc Hons, MBBS Acute Care Common Stem speciality trainee 2 Queen Elizabeth II Hospital, Hertfordshire
Emma Wall MBBS, MRCP Infectious Diseases/Acute Medical Registrar Hospital for Tropical Diseases, University College London Hospitals NHS Foundation Trust, London
Stephen Ash MBBS, BSc, FRCP Consultant Infectious Diseases and Acute Medicine physician, Clinical Director for Medicine & A&E Ealing Hospital, Southall.

Paracetamol overdose presenting with hyperglycaemia, acidosis and ketonuria in a non-diabetic patient

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Paracetamol overdose presenting with hyperglycaemia, acidosis and ketonuria in a non-diabetic patient

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