Potentiation of Acetaminophen Hepatotoxicity by Phenytoin, Leading to Liver Transplantation
We report the case of a 22-year-old man who developed fulminant hepatic failure 3 days after an intentional acetaminophen overdose. The patient had a history of a seizure disorder for which he was taking phenytoin. The acetaminophen level at presentation was in the “nontoxic” range. Emergent liver transplantation was performed 4 days after the ingestion. This is the first reported case of successful liver transplantation for acetaminophen-induced fulminant hepatic failure in the setting of phenytoin therapy.
Key Wordsacetaminophen phenytoin liver transplant fulminant hepatic failure
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