Acetaminophen overdose followed by ingestion of an herbicide: A case of unique combination
Drug overdose and herbicide consumption are two common methods that are widely used for self-destruction. This article presents a unique case of self-poisoning by ingestion of Acetaminophen (Paracetamol) followed by herbicide 2-Methyl-4-chlorophenoxyacetic Acid (MCPA). No such a case has been report...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-11-01
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| Series: | Forensic Science International: Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2665910719300313 |
| _version_ | 1819178933154742272 |
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| author | Amal Nishantha Vadysinghe Herath Mudiyanselage Yudhayangani Yureka Bandara Solokara Mudiyanselage Nirmani Kaushalya Thilakarathne Liyanage Madhuka Malshani Liyanage |
| author_facet | Amal Nishantha Vadysinghe Herath Mudiyanselage Yudhayangani Yureka Bandara Solokara Mudiyanselage Nirmani Kaushalya Thilakarathne Liyanage Madhuka Malshani Liyanage |
| author_sort | Amal Nishantha Vadysinghe |
| collection | DOAJ |
| description | Drug overdose and herbicide consumption are two common methods that are widely used for self-destruction. This article presents a unique case of self-poisoning by ingestion of Acetaminophen (Paracetamol) followed by herbicide 2-Methyl-4-chlorophenoxyacetic Acid (MCPA). No such a case has been reported in the literature. A 53-year-old male was admitted vomiting and semi-conscious, with a history of ingestion of MCPA. He was treated with gastric lavage, activated charcoal, sodium bicarbonate, intravenous fluids and, antibiotics. He succumbed despite mechanical ventilation. Death investigation revealed fatal toxicity with MCPA and acetaminophen with the possible manner of death being stated as complex suicide. This case highlights the importance of considering the ingestion of a second poison by clinicians and forensic pathologists when response to the appropriate management of a specific poison is poor. Keywords: Acetaminophen, Drug overdose, MCPA, Paracetamol, Suicide |
| first_indexed | 2024-12-22T21:50:25Z |
| format | Article |
| id | doaj.art-dc7a3567b34b43bcbac40892647034bf |
| institution | Directory Open Access Journal |
| issn | 2665-9107 |
| language | English |
| last_indexed | 2024-12-22T21:50:25Z |
| publishDate | 2019-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Forensic Science International: Reports |
| spelling | doaj.art-dc7a3567b34b43bcbac40892647034bf2022-12-21T18:11:22ZengElsevierForensic Science International: Reports2665-91072019-11-011Acetaminophen overdose followed by ingestion of an herbicide: A case of unique combinationAmal Nishantha Vadysinghe0Herath Mudiyanselage Yudhayangani Yureka Bandara1Solokara Mudiyanselage Nirmani Kaushalya Thilakarathne2Liyanage Madhuka Malshani Liyanage3Corresponding author.; Department of Forensic Medicine, Faculty of Medicine, University of Peradeniya, Peradeniya, Sri LankaDepartment of Forensic Medicine, Faculty of Medicine, University of Peradeniya, Peradeniya, Sri LankaDepartment of Forensic Medicine, Faculty of Medicine, University of Peradeniya, Peradeniya, Sri LankaDepartment of Forensic Medicine, Faculty of Medicine, University of Peradeniya, Peradeniya, Sri LankaDrug overdose and herbicide consumption are two common methods that are widely used for self-destruction. This article presents a unique case of self-poisoning by ingestion of Acetaminophen (Paracetamol) followed by herbicide 2-Methyl-4-chlorophenoxyacetic Acid (MCPA). No such a case has been reported in the literature. A 53-year-old male was admitted vomiting and semi-conscious, with a history of ingestion of MCPA. He was treated with gastric lavage, activated charcoal, sodium bicarbonate, intravenous fluids and, antibiotics. He succumbed despite mechanical ventilation. Death investigation revealed fatal toxicity with MCPA and acetaminophen with the possible manner of death being stated as complex suicide. This case highlights the importance of considering the ingestion of a second poison by clinicians and forensic pathologists when response to the appropriate management of a specific poison is poor. Keywords: Acetaminophen, Drug overdose, MCPA, Paracetamol, Suicidehttp://www.sciencedirect.com/science/article/pii/S2665910719300313 |
| spellingShingle | Amal Nishantha Vadysinghe Herath Mudiyanselage Yudhayangani Yureka Bandara Solokara Mudiyanselage Nirmani Kaushalya Thilakarathne Liyanage Madhuka Malshani Liyanage Acetaminophen overdose followed by ingestion of an herbicide: A case of unique combination Forensic Science International: Reports |
| title | Acetaminophen overdose followed by ingestion of an herbicide: A case of unique combination |
| title_full | Acetaminophen overdose followed by ingestion of an herbicide: A case of unique combination |
| title_fullStr | Acetaminophen overdose followed by ingestion of an herbicide: A case of unique combination |
| title_full_unstemmed | Acetaminophen overdose followed by ingestion of an herbicide: A case of unique combination |
| title_short | Acetaminophen overdose followed by ingestion of an herbicide: A case of unique combination |
| title_sort | acetaminophen overdose followed by ingestion of an herbicide a case of unique combination |
| url | http://www.sciencedirect.com/science/article/pii/S2665910719300313 |
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