Gan CS, Chong SY, Lum LC, Lee WS
Correspondence: Dr Way Seah Lee, leews@um.edu.my

ABSTRACT
An eight-month-old female infant with severe dengue disease, who was repeatedly given therapeutic paracetamol for severe dengue, developed fulminant liver failure with encephalopathy, gastrointestinal haemorrhage and severe coagulopathy. She responded to supportive measures and N-acetylcysteine infusion. This case highlights the potential danger of administering repeated therapeutic doses of paracetamol in childhood severe dengue disease with hepatitis.

Keywords: hepatitis, paracetamol, severe dengue
Singapore Med J 2013; 54(2): e35–e37; http://dx.doi.org/10.11622/smedj.2013037
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