Fatal anaphylactoid reaction to N-acetylcysteine: caution in patients with asthma
Open Access
- 1 November 2002
- journal article
- case report
- Published by BMJ in Emergency Medicine Journal
- Vol. 19 (6) , 594-595
- https://doi.org/10.1136/emj.19.6.594
Abstract
Paracetamol overdose is a common reason for presentation to the emergency department and N-acetylcysteine is frequently used in the treatment of toxic paracetamol ingestions. Adverse reactions to N-acetylcysteine are common though usually mild and easily treated. Serious reactions to N-acetylcysteine however, are rare and there have been no previous reported fatalities with its therapeutic use. This report describes the case of a 40 year old brittle asthmatic patient who died after treatment with intravenous N-acetylcysteine. Asthma is a risk factor for adverse reactions to N-acetylcysteine and special caution should be exercised in its use in brittle asthmatic patients.Keywords
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