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Delayed salicylate toxicity following enteric-coated acetylsalicylic acid overdose: a case report and review of the literature

Published online by Cambridge University Press:  21 May 2015

Robert Drummond ,
Nadine Kadri  and
Julie St-Cyr
Robert Drummond*
Affiliation:
Department of Emergency Medicine, St. Mary’s Hospital, Montreal, Que.
Nadine Kadri
Affiliation:
Medical Biochemistry, McGill University, Montreal
Julie St-Cyr
Affiliation:
Department of Medical Biochemistry, St. Mary’s Hospital, Montreal
*
St. Mary’s Hospital, 3830 Lacombe Ave., Montreal QC H3T 1M5

Abstract

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Salicylates are widely available and potentially lethal. Clinical and laboratory findings associated with enteric-coated acetylsalicylic acid (ECASA) ingestion may be delayed more than 24 hours. When dealing with patients who have a history of significant ingestion, emergency physicians should consider initiating therapy regardless of initial salicylate levels. Prolonged observation may be necessary in cases of suspected ECASA overdose.

Keywords

acetylsalicylic acidsalicylateintoxicationoverdose
Type
Case Report • Observations
Information
Canadian Journal of Emergency Medicine , Volume 3 , Issue 1 , January 2001 , pp. 44 - 46
Copyright
Copyright © Canadian Association of Emergency Physicians 2001

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