Unusual complications of paracetamol poisoning
Every physician is only too familiar with acute hepatic necrosis as the most common complication of severe paracetamol poisoning. The frequency with which paracetamol is used for self-poisoning may, however, give rise to complacency through familiarity, and the less common complications may be missed. The purpose of this review is to act as a reminder of these more unusual complications. Although there have been many reports of toxic occurred in the presence of hepatic or multi-organ failure, and in such circumstances it is difficult to distinguish between cause and effect.