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Severe hepatoxicity caused by aspirin overdose: a case report
Zhuping Cao1, Shiqi Liu, Jianhua Niu
1Department of Nursing, School of Medicine, Shihezi University, Shihezi, 832002, China.
A rare case of aspirin overdose (4 g) in a 61-year-old man led to multiple organ dysfunction, including fever, gastrointestinal bleeding, and pancreatitis. The patient ultimately died from chronic liver failure two years later.
Area of Science:
- Internal Medicine
- Toxicology
- Gastroenterology
Background:
- Aspirin overdose can cause severe toxicity.
- Multiple organ dysfunction is a serious complication of overdose.
Observation:
- A 61-year-old man presented with high fever, peptic ulcer, and massive upper gastrointestinal bleeding after ingesting 4g of aspirin.
- Laboratory tests revealed leukopenia, lymphopenia, neutropenia, and electrolyte disturbances.
- Computed tomography (CT) scan showed bilateral inferior pulmonary infection and acute pancreatitis.
Findings:
- Thick, dark bile with floccules was drained via percutaneous transhepatic cholangiodrainage (PTCD).
- Microbiological bile tests identified Klebsiella pneumoniae.
- The patient developed chronic liver failure and died two years post-overdose.
Implications:
- This case highlights the severe, multi-organ impact of aspirin overdose.
- Prompt diagnosis and management are crucial for patients with salicylate toxicity.
- Infections, such as Klebsiella pneumoniae in the biliary system, can complicate overdose recovery.
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