Our patient has ingested one of the highest paracetamol overdose (50g) with the highest paracetamol blood levels ever reported in medical literature. The patient was discharged well on the fifth day of hospitalization. However, due to the massive paracetamol ingestion associated with high serum paracetamol levels, oral NAC was continued for 3 days. On review the next days, she did not develop any symptoms of liver failure. Serum paracetamol level done 18 hours post ingestion was 900 mg/l. She has received oral N-acetyl cystein (NAC) 6 hours after the ingestion. We report a case of a 24-year-old Arab female who has deliberately ingested 100 tablets of 500 mg paracetamol each (50g). N-acetyl cystein is the main treatment for this poisoning. Paracetamol is the most widely drug involved in accidental paediatric exposures and deliberate self-poisoning cases because of its availability.
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