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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*
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.

Type
Case Report • Observations
Copyright
Copyright © Canadian Association of Emergency Physicians 2001

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