Page last updated: 2024-10-22

acetaminophen and Metabolic Acidosis

acetaminophen has been researched along with Metabolic Acidosis in 82 studies

Acetaminophen: Analgesic antipyretic derivative of acetanilide. It has weak anti-inflammatory properties and is used as a common analgesic, but may cause liver, blood cell, and kidney damage.
paracetamol : A member of the class of phenols that is 4-aminophenol in which one of the hydrogens attached to the amino group has been replaced by an acetyl group.

Research Excerpts

ExcerptRelevanceReference
"BACKGROUND Chronic acetaminophen toxicity has been known to cause an anion gap metabolic acidosis (AGMA) due to accumulation of 5-oxoproline metabolites."9.22Severe Anion Gap Metabolic Acidosis Resulting from Combined Chronic Acetaminophen Toxicity and Starvation Ketosis: A Case Report and Literature Review. ( Kalinoski, T, 2022)
"Although acetaminophen is commonly used in pregnancy, it can deplete glutathione concentrations and cause accumulation of 5-oxoproline, with subsequent metabolic acidosis."8.02Malnourishment-Associated Acetaminophen Toxicity in Pregnancy. ( Dom, AM; Olson-Chen, C; Royzer, R, 2021)
" As the patient was on long-term dicloxacillin for infective endocarditis prophylaxis and regular paracetamol, pyroglutamic acidosis (PGA) (5-oxoproline acidosis) was considered."7.96Acquired pyroglutamic acidosis due to long-term dicloxacillin and paracetamol use. ( Almuwais, A; Gibbons, H; Zand Irani, A, 2020)
"Pyroglutamic acid, an intermediate in glutathione metabolism, can lead to elevated anion gap metabolic acidosis as rare complication of acetaminophen therapy in adults."7.88Recurrent Pyroglutamic Acidosis Related to Therapeutic Acetaminophen. ( Alhourani, HM; George, LK; Kumar, A; Sarwar, T; Wall, BM, 2018)
" Metabolic acidosis due to accumulation of l-5-oxoproline is a rare, poorly understood, disorder associated with acetaminophen treatment in malnourished patients with chronic morbidity."7.85The acetaminophen metabolite N-acetyl-p-benzoquinone imine (NAPQI) inhibits glutathione synthetase in vitro; a clue to the mechanism of 5-oxoprolinuric acidosis? ( Anderson, ME; Ingle, BL; Jackson, JM; Mills, GA; Moss, CL; Sharrod-Cole, H; Skipp, PJ; Walker, V, 2017)
"A patient was identified with severe metabolic acidosis, a high anion gap and 5-oxoproline accumulation, probably caused by the simultaneous use of paracetamol (acetaminophen) and flucloxacillin."7.85Metabolic acidosis caused by concomitant use of paracetamol (acetaminophen) and flucloxacillin? A case report and a retrospective study. ( Berbee, JK; Fischer, JC; Kemper, EM; Krediet, CTP; Lammers, LA, 2017)
"We present a case of early coma, metabolic acidosis and methemoglobinemia after substantial acetaminophen toxicity in the absence of hepatic failure."7.79Coma, metabolic acidosis, and methemoglobinemia in a patient with acetaminophen toxicity. ( Boucher, P; Dias, VC; Kanji, HD; Mithani, S; Yarema, MC, 2013)
"The case we present manifested an anion gap (AG) metabolic acidosis due to a chronic intoxication: acetaminophen (APAP) overuse over a period of weeks."7.785-oxoprolinemia causing elevated anion gap metabolic acidosis in the setting of acetaminophen use. ( Armenian, P; Blanc, PD; Gerona, RR; Mookherjee, S; Wu, AH, 2012)
"Metabolic acidosis after acute acetaminophen overdose is typically attributed to either transient lactic acidosis without evidence of hepatic injury or hepatic failure."7.765-oxoproline-induced anion gap metabolic acidosis after an acute acetaminophen overdose. ( Bechtel, LK; Charlton, NP; Holstege, CP; Lawrence, DT, 2010)
"We report the case of a 35-year-old woman who presented with acute pancreatitis and severe metabolic acidosis after overdosing on a drug containing acetaminophen."7.75Acetaminophen-induced acute pancreatitis. A case report. ( Igarashi, H; Ito, T; Oono, T; Sakai, H; Takayanagi, R; Yoshinaga, M, 2009)
"Severe acetaminophen overdoses can independently cause metabolic acidosis and coma in the absence of hepatotoxicity."7.70Metabolic acidosis and coma following a severe acetaminophen overdose. ( Jones, G; Koulouris, Z; Tierney, MG, 1999)
"Metabolic acidosis and coma may develop in patients who experience severe hepatic injury after acetaminophen poisoning."7.70Early metabolic acidosis and coma after acetaminophen ingestion. ( Blanc, P; Roth, B; Woo, O, 1999)
" No clear dose-response relationship existed between the quantity of paracetamol ingested and the observed concentrations of 5-oxoproline."6.49What is the clinical significance of 5-oxoproline (pyroglutamic acid) in high anion gap metabolic acidosis following paracetamol (acetaminophen) exposure? ( Liss, DB; Mullins, ME; Paden, MS; Schwarz, ES, 2013)
" Chronic intake of sub-lethal doses (i."5.48[High anion gap metabolic acidosis (pyroglutamic acidosis) induced by chronic acetaminophen use]. ( Canivet, JL; Damas, P; Mistretta, V; Noirot, I; Tchougang Nono, J, 2018)
"The treatment with acetaminophen must be interrupted and acetylcysteine should be administered."5.48[Metabolic Acidosis under Acetaminophen Intake - an Unordinary Side Effect]. ( Böttcher, A; Hitzing, S; Laube, M, 2018)
"5-oxoproline acidosis is an uncommon cause of high anion gap metabolic acidosis; however, it is likely that it is under-diagnosed as awareness of the condition remains low and testing can only be performed at specialized laboratories."5.40Acetaminophen-induced anion gap metabolic acidosis secondary to 5-oxoproline: a case report. ( Abkur, TM; Ali, M; Casserly, L; Mohammed, W, 2014)
"Acetaminophen overdose is a well known cause of liver function disorder and even hepatic failure."5.36[Severe metabolic acidosis as a result of 5-oxoproline in acetaminophen use]. ( Holman, M; ter Maaten, JC, 2010)
" The development of type B lactic acidosis with hypoglycemia might have been caused by a deficit in gluconeogenesis secondary to severe hepatic failure and/or a toxic metabolite of acetaminophen."5.27Anion gap acidosis with hypoglycemia in acetaminophen toxicity. ( Schnurr, LP; Zabrodski, RM, 1984)
"BACKGROUND Chronic acetaminophen toxicity has been known to cause an anion gap metabolic acidosis (AGMA) due to accumulation of 5-oxoproline metabolites."5.22Severe Anion Gap Metabolic Acidosis Resulting from Combined Chronic Acetaminophen Toxicity and Starvation Ketosis: A Case Report and Literature Review. ( Kalinoski, T, 2022)
"The acquired form of 5-oxoproline (pyroglutamic acid) metabolic acidosis was first described in 1989 and its relationship to chronic acetaminophen ingestion was proposed the next year."4.90Acetaminophen toxicity and 5-oxoproline (pyroglutamic acid): a tale of two cycles, one an ATP-depleting futile cycle and the other a useful cycle. ( Emmett, M, 2014)
"Although acetaminophen is commonly used in pregnancy, it can deplete glutathione concentrations and cause accumulation of 5-oxoproline, with subsequent metabolic acidosis."4.02Malnourishment-Associated Acetaminophen Toxicity in Pregnancy. ( Dom, AM; Olson-Chen, C; Royzer, R, 2021)
" As the patient was on long-term dicloxacillin for infective endocarditis prophylaxis and regular paracetamol, pyroglutamic acidosis (PGA) (5-oxoproline acidosis) was considered."3.96Acquired pyroglutamic acidosis due to long-term dicloxacillin and paracetamol use. ( Almuwais, A; Gibbons, H; Zand Irani, A, 2020)
"Pyroglutamic acid, an intermediate in glutathione metabolism, can lead to elevated anion gap metabolic acidosis as rare complication of acetaminophen therapy in adults."3.88Recurrent Pyroglutamic Acidosis Related to Therapeutic Acetaminophen. ( Alhourani, HM; George, LK; Kumar, A; Sarwar, T; Wall, BM, 2018)
" Metabolic acidosis due to accumulation of l-5-oxoproline is a rare, poorly understood, disorder associated with acetaminophen treatment in malnourished patients with chronic morbidity."3.85The acetaminophen metabolite N-acetyl-p-benzoquinone imine (NAPQI) inhibits glutathione synthetase in vitro; a clue to the mechanism of 5-oxoprolinuric acidosis? ( Anderson, ME; Ingle, BL; Jackson, JM; Mills, GA; Moss, CL; Sharrod-Cole, H; Skipp, PJ; Walker, V, 2017)
"A patient was identified with severe metabolic acidosis, a high anion gap and 5-oxoproline accumulation, probably caused by the simultaneous use of paracetamol (acetaminophen) and flucloxacillin."3.85Metabolic acidosis caused by concomitant use of paracetamol (acetaminophen) and flucloxacillin? A case report and a retrospective study. ( Berbee, JK; Fischer, JC; Kemper, EM; Krediet, CTP; Lammers, LA, 2017)
"High anion gap metabolic acidosis due to pyroglutamic acid (5-oxoproline) is a rare complication of acetaminophen treatment (which depletes glutathione stores) and is often associated with clinically moderate to severe encephalopathy."3.80Pyroglutamic acid-induced metabolic acidosis: a case report. ( Dive, A; Galanti, L; Luyasu, S; Wamelink, MM, 2014)
"The case we present manifested an anion gap (AG) metabolic acidosis due to a chronic intoxication: acetaminophen (APAP) overuse over a period of weeks."3.785-oxoprolinemia causing elevated anion gap metabolic acidosis in the setting of acetaminophen use. ( Armenian, P; Blanc, PD; Gerona, RR; Mookherjee, S; Wu, AH, 2012)
"Metabolic acidosis after acute acetaminophen overdose is typically attributed to either transient lactic acidosis without evidence of hepatic injury or hepatic failure."3.765-oxoproline-induced anion gap metabolic acidosis after an acute acetaminophen overdose. ( Bechtel, LK; Charlton, NP; Holstege, CP; Lawrence, DT, 2010)
"We report the case of a 35-year-old woman who presented with acute pancreatitis and severe metabolic acidosis after overdosing on a drug containing acetaminophen."3.75Acetaminophen-induced acute pancreatitis. A case report. ( Igarashi, H; Ito, T; Oono, T; Sakai, H; Takayanagi, R; Yoshinaga, M, 2009)
" Laboratory evaluation revealed a high anion gap metabolic acidosis and modestly elevated acetaminophen level."3.74Profound metabolic acidosis and oxoprolinuria in an adult. ( Cantor, R; Carmel, PM; Hodgman, MJ; Holland, MG; Horn, JF; Marraffa, JM; Stork, CM, 2007)
"Metabolic acidosis and coma may develop in patients who experience severe hepatic injury after acetaminophen poisoning."3.70Early metabolic acidosis and coma after acetaminophen ingestion. ( Blanc, P; Roth, B; Woo, O, 1999)
" A variety of conditions preceded the onset of acidosis, and all had taken acetaminophen (paracetamol), although in therapeutic amounts in most subjects."3.70Transient 5-oxoprolinuria and high anion gap metabolic acidosis: clinical and biochemical findings in eleven subjects. ( Hauser, S; Pitt, JJ, 1998)
"Severe acetaminophen overdoses can independently cause metabolic acidosis and coma in the absence of hepatotoxicity."3.70Metabolic acidosis and coma following a severe acetaminophen overdose. ( Jones, G; Koulouris, Z; Tierney, MG, 1999)
" Monensin potentiated the cell killing, and extracellular acidosis prevented it."3.68The killing of cultured hepatocytes by N-acetyl-p-benzoquinone imine (NAPQI) as a model of the cytotoxicity of acetaminophen. ( Farber, JL; Harman, AW; Kyle, ME; Serroni, A, 1991)
" No clear dose-response relationship existed between the quantity of paracetamol ingested and the observed concentrations of 5-oxoproline."2.49What is the clinical significance of 5-oxoproline (pyroglutamic acid) in high anion gap metabolic acidosis following paracetamol (acetaminophen) exposure? ( Liss, DB; Mullins, ME; Paden, MS; Schwarz, ES, 2013)
" This diagnosis was confirmed by an organic acid dosage in the urine."1.72[A case of pyroglutamic metabolic acidosis after cotreatment by flucloxacillin and paracetamol]. ( Desgranges, A; Hu, K; Monney Chaubert, C, 2022)
"The treatment with acetaminophen must be interrupted and acetylcysteine should be administered."1.48[Metabolic Acidosis under Acetaminophen Intake - an Unordinary Side Effect]. ( Böttcher, A; Hitzing, S; Laube, M, 2018)
"Subsequent testing following treatment of the sepsis revealed no ongoing 5-oxoprolinuria."1.42Transient 5-oxoprolinuria: unusually high anion gap acidosis in an infant. ( Hulley, SL; Manning, N; Olpin, S; Perring, J; Yap, S, 2015)
"5-oxoproline acidosis is an uncommon cause of high anion gap metabolic acidosis; however, it is likely that it is under-diagnosed as awareness of the condition remains low and testing can only be performed at specialized laboratories."1.40Acetaminophen-induced anion gap metabolic acidosis secondary to 5-oxoproline: a case report. ( Abkur, TM; Ali, M; Casserly, L; Mohammed, W, 2014)
"Irreversible acute liver failure, defined as rise in prothrombin time >3 times normal, occurred 19."1.39A reproducible, clinically relevant, intensively managed, pig model of acute liver failure for testing of therapies aimed to prolong survival. ( Alibhai, H; Baker, LA; Chang, YM; Davies, NA; Jalan, R; L Priestnall, S; Leckie, PJ; Lee, KC; Mookerjee, RP; Palacios Jimenez, C; Stanzani, G, 2013)
"Acetaminophen overdose is a well known cause of liver function disorder and even hepatic failure."1.36[Severe metabolic acidosis as a result of 5-oxoproline in acetaminophen use]. ( Holman, M; ter Maaten, JC, 2010)
" The development of type B lactic acidosis with hypoglycemia might have been caused by a deficit in gluconeogenesis secondary to severe hepatic failure and/or a toxic metabolite of acetaminophen."1.27Anion gap acidosis with hypoglycemia in acetaminophen toxicity. ( Schnurr, LP; Zabrodski, RM, 1984)
"A case of metabolic acidosis, acute renal failure and hepatic failure following paracetamol ingestion is presented."1.27Paracetamol-associated coma, metabolic acidosis, renal and hepatic failure. ( Fassett, R; Kritharides, L; Singh, B, 1988)

Research

Studies (82)

TimeframeStudies, this research(%)All Research%
pre-199010 (12.20)18.7374
1990's6 (7.32)18.2507
2000's14 (17.07)29.6817
2010's38 (46.34)24.3611
2020's14 (17.07)2.80

Authors

AuthorsStudies
Crisp, T1
Sizeland, P1
Du Toit, S1
Chan, LW1
Lasse, A1
Deveaux, M1
Beaudeux, JL1
Raphalen, JH1
Baud, FJ1
Houzé, P1
Elsayed, S1
Gohar, A1
Omar, M1
Kalinoski, T1
van Montfort, P1
Helmich, F1
Mostard, G1
van Twist, D1
Desgranges, A1
Hu, K1
Monney Chaubert, C1
Hoshitsuki, K1
Molinelli, AR1
Inaba, H1
Rubnitz, JE1
Barker, PJ1
Zand Irani, A2
Almuwais, A1
Gibbons, H2
Mullins, ME2
Yeager, LH1
Freeman, WE1
Trevor-Jones, E2
Hughes, LT1
Robson, R1
Bromley, A1
Stewart, GW2
Borchert, G1
Craven, B1
Dom, AM1
Royzer, R1
Olson-Chen, C1
Morreale, A1
Canivet, JL2
Charlier, C1
Misset, B1
Berbee, JK1
Lammers, LA1
Krediet, CTP1
Fischer, JC1
Kemper, EM1
Hložek, T1
Křížek, T1
Tůma, P1
Bursová, M1
Coufal, P1
Čabala, R1
Barkoudah, E1
Roy, CL1
Lanot, A1
Henri, P1
Nowoczyn, M1
Read, MH1
Maucorps, C1
Sassier, M1
Lobbedez, T1
Tchougang Nono, J1
Mistretta, V1
Noirot, I1
Damas, P1
Alhourani, HM1
Kumar, A1
George, LK1
Sarwar, T1
Wall, BM1
Hitzing, S1
Böttcher, A1
Laube, M1
Costello, M1
Brennan, M1
Newman, C1
O'Shea, P1
Bell, M1
Spring, A1
Owens, R1
Fratita, M1
O’Dwyer, M1
Kanji, HD1
Mithani, S1
Boucher, P1
Dias, VC1
Yarema, MC1
Liss, DB1
Paden, MS1
Schwarz, ES1
Emmett, M2
Luyasu, S1
Wamelink, MM1
Galanti, L1
Dive, A1
Vichot, AA1
Rastegar, A1
Abkur, TM1
Mohammed, W1
Ali, M1
Casserly, L1
Hulley, SL1
Perring, J1
Manning, N1
Olpin, S1
Yap, S1
Weiler, S1
Bellmann, R1
Kullak-Ublick, GA1
Kamran, H1
Ram, N1
Walker, V1
Mills, GA1
Anderson, ME1
Ingle, BL1
Jackson, JM1
Moss, CL1
Sharrod-Cole, H1
Skipp, PJ1
Lanoy, C1
Bouckaert, Y1
Jessurun, N1
van Marum, R1
Hermens, W1
van Puijenbroek, E1
Hunter, RW1
Lawson, C1
Galitsiou, E1
Gifford, F1
Neary, JJ1
Bowron, A1
Cooke, L1
Scott, J1
Stone, J1
Rolleman, EJ1
Hoorn, EJ1
Didden, P1
Zietse, R1
Igarashi, H1
Ito, T1
Yoshinaga, M1
Oono, T1
Sakai, H1
Takayanagi, R1
Wiegand, TJ1
Margaretten, M1
Olson, KR1
Holman, M1
ter Maaten, JC1
Lawrence, DT1
Bechtel, LK1
Charlton, NP1
Holstege, CP1
Green, TJ1
Bijlsma, JJ1
Sweet, DD1
Reddi, AS1
Kunadi, AR1
Bodmer, M1
Monte, AA1
Zell-Kanter, M1
Coleman, P1
Whiteley, PM1
Leikin, JB1
Myall, K1
Sidney, J1
Marsh, A1
Armenian, P1
Gerona, RR1
Blanc, PD1
Wu, AH1
Mookherjee, S1
Verma, R1
Polsani, KR1
Wilt, J1
Loehrke, ME1
Nisse, P1
Saulnier, F1
Garat, A1
Mathieu-Nolf, M1
Veldhuijzen, N1
Kamphuis, S1
van den Bergh, F1
Spronk, P1
Braber, A1
Amer, H1
Dockery, F1
Barrett, N1
George, M1
Witek, K1
Stanton, J1
Back, D1
Zand, L1
Muriithi, A1
Nelsen, E1
Franco, PM1
Greene, EL1
Qian, Q1
El-Zoghby, ZM1
Milosevic, S1
Tran, K1
O'Brien, B1
Lee, KC1
Palacios Jimenez, C1
Alibhai, H1
Chang, YM1
Leckie, PJ1
Baker, LA1
Stanzani, G1
L Priestnall, S1
Mookerjee, RP1
Jalan, R1
Davies, NA1
Steelman, R1
Goodman, A1
Biswas, S1
Zimmerman, A1
Tailor, P1
Raman, T1
Garganta, CL1
Njalsson, R1
Carlsson, K1
Ristoff, E1
Carey, HB1
Humphreys, BD1
Forman, JP1
Zandi-Nejad, K1
Bazari, H1
Seifter, J1
Magee, CC1
Hori, Y1
Fujisawa, M1
Shimada, K1
Hirose, Y1
Yoshioka, T1
Funk, GC1
Doberer, D1
Fuhrmann, V1
Holzinger, U1
Kitzberger, R1
Kneidinger, N1
Lindner, G1
Schneeweiss, B1
Peter, JV1
Rogers, N1
Murty, S1
Gerace, R1
Mackay, R1
Peake, SL1
Mendoza, CD1
Heard, K1
Dart, RC1
Brooker, G1
Jeffery, J1
Nataraj, T1
Sair, M1
Ayling, R1
Fenves, AZ1
Kirkpatrick, HM1
Patel, VV1
Sweetman, L1
Hodgman, MJ1
Horn, JF1
Stork, CM1
Marraffa, JM1
Holland, MG1
Cantor, R1
Carmel, PM1
Zabrodski, RM1
Schnurr, LP1
Rabinovitz, M1
Garty, M1
Rosenfeld, JB1
Zezulka, A1
Wright, N2
Mutimer, DJ1
Ayres, RC1
Neuberger, JM1
Davies, MH1
Holguin, J1
Buckels, JA1
Mayer, AD1
McMaster, P1
Elias, E1
Pitt, JJ1
Hauser, S1
Roth, B1
Woo, O1
Blanc, P1
Koulouris, Z1
Tierney, MG1
Jones, G1
Al-Jubouri, MA1
Yale, SH1
Mazza, JJ1
Katz, S1
Pitt, WW1
Mrochek, JE1
Cohen, SB1
Burk, RF1
Harman, AW1
Kyle, ME1
Serroni, A1
Farber, JL1
Kritharides, L1
Fassett, R1
Singh, B1
Flanagan, RJ1
Mant, TG1
Done, AK1
Temple, AR1
Proudfoot, AT1

Reviews

10 reviews available for acetaminophen and Metabolic Acidosis

ArticleYear
A Review Article on 5-Oxoproline Induced High Anion Gap Metabolic Acidosis.
    South Dakota medicine : the journal of the South Dakota State Medical Association, 2021, Volume: 74, Issue:10

    Topics: Acetaminophen; Acid-Base Equilibrium; Acidosis; Adult; Analgesics, Non-Narcotic; Female; Humans; Pyr

2021
Severe Anion Gap Metabolic Acidosis Resulting from Combined Chronic Acetaminophen Toxicity and Starvation Ketosis: A Case Report and Literature Review.
    The American journal of case reports, 2022, Jan-17, Volume: 23

    Topics: Acetaminophen; Acid-Base Equilibrium; Acidosis; Aged; Analgesics, Non-Narcotic; Humans; Ketosis; Mal

2022
Metabolic and mitochondrial treatments for severe paracetamol poisoning: a systematic review.
    Clinical toxicology (Philadelphia, Pa.), 2020, Volume: 58, Issue:12

    Topics: Acetaminophen; Acetylcysteine; Acidosis; Animals; Antidotes; Cimetidine; Drug Overdose; Edetic Acid;

2020
What is the clinical significance of 5-oxoproline (pyroglutamic acid) in high anion gap metabolic acidosis following paracetamol (acetaminophen) exposure?
    Clinical toxicology (Philadelphia, Pa.), 2013, Volume: 51, Issue:9

    Topics: Acetaminophen; Acetylcysteine; Acidosis; Amino Acid Metabolism, Inborn Errors; Analgesics, Non-Narco

2013
Acetaminophen toxicity and 5-oxoproline (pyroglutamic acid): a tale of two cycles, one an ATP-depleting futile cycle and the other a useful cycle.
    Clinical journal of the American Society of Nephrology : CJASN, 2014, Volume: 9, Issue:1

    Topics: Acetaminophen; Acid-Base Equilibrium; Acidosis; Adenosine Triphosphate; Analgesics, Non-Narcotic; An

2014
[5-0xoproline (pyroglutamic acid) acidosis and acetaminophen- a differential diagnosis in high anion gap metabolic acidosis].
    Therapeutische Umschau. Revue therapeutique, 2015, Volume: 72, Issue:11-12

    Topics: Acetaminophen; Acidosis; Analgesics, Non-Narcotic; Biomarkers; Diagnosis, Differential; Humans; Medi

2015
Recurrent anion gap metabolic acidosis in a woman with vertebral disc disease.
    The American journal of emergency medicine, 2011, Volume: 29, Issue:8

    Topics: Acetaminophen; Acid-Base Equilibrium; Acidosis; Analgesics, Non-Narcotic; Emergency Service, Hospita

2011
A rare cause of high anion gap metabolic acidosis.
    Internal medicine journal, 2013, Volume: 43, Issue:1

    Topics: Abdominal Pain; Acetaminophen; Acid-Base Equilibrium; Acidosis; Adult; Amino Acid Metabolism, Inborn

2013
Increased anion gap metabolic acidosis as a result of 5-oxoproline (pyroglutamic acid): a role for acetaminophen.
    Clinical journal of the American Society of Nephrology : CJASN, 2006, Volume: 1, Issue:3

    Topics: Acetaminophen; Acid-Base Imbalance; Acidosis; Adolescent; Adult; Aged; Aged, 80 and over; Female; Hu

2006
Treatment of salicylate poisoning.
    Modern treatment, 1971, Volume: 8, Issue:3

    Topics: Acetaminophen; Acid-Base Equilibrium; Acidosis; Acute Kidney Injury; Alkalosis, Respiratory; Aspirin

1971

Other Studies

72 other studies available for acetaminophen and Metabolic Acidosis

ArticleYear
Pyroglutamic acidosis: an under-recognised cause of high anion gap metabolic acidosis.
    The New Zealand medical journal, 2021, 11-26, Volume: 134, Issue:1546

    Topics: Acetaminophen; Acid-Base Equilibrium; Acidosis; Aged; Analgesics, Non-Narcotic; Bicarbonates; Female

2021
[Plasmatic and urinary pyroglutamic acid measurement by capillary zone electrophoresis in chronic poisoning with acetaminophen in children].
    Annales de biologie clinique, 2021, Dec-01, Volume: 79, Issue:6

    Topics: Acetaminophen; Acidosis; Child; Electrophoresis, Capillary; Humans; Pharmaceutical Preparations; Pyr

2021
5-Oxoproline acidosis caused by acetaminophen and flucloxacillin treatment - a case report.
    Acute medicine, 2022, Volume: 21, Issue:1

    Topics: Acetaminophen; Acidosis; Floxacillin; Humans; Pyrrolidonecarboxylic Acid

2022
[A case of pyroglutamic metabolic acidosis after cotreatment by flucloxacillin and paracetamol].
    Revue medicale suisse, 2022, Sep-28, Volume: 18, Issue:797

    Topics: Acetaminophen; Acetylcysteine; Acidosis; Aged; Floxacillin; Humans; Male; Methicillin

2022
Metabolic Acidosis in a Pediatric Patient with Leukemia and Fungal Infection.
    Clinical chemistry, 2020, 04-01, Volume: 66, Issue:4

    Topics: Acetaminophen; Acidosis; Amphotericin B; Antifungal Agents; Antineoplastic Combined Chemotherapy Pro

2020
Acquired pyroglutamic acidosis due to long-term dicloxacillin and paracetamol use.
    BMJ case reports, 2020, Apr-08, Volume: 13, Issue:4

    Topics: Acetaminophen; Acid-Base Equilibrium; Acidosis; Aged, 80 and over; Analgesics, Non-Narcotic; Anti-Ba

2020
Lessons of the month: Pyroglutamic acidosis: long-term paracetamol and a high anion gap.
    Clinical medicine (London, England), 2020, Volume: 20, Issue:5

    Topics: Acetaminophen; Acid-Base Equilibrium; Acidosis; Aged, 80 and over; Female; Glutathione Synthase; Hum

2020
Flucloxacillin and paracetamol induced pyroglutamic acidosis.
    BMJ case reports, 2021, Jan-08, Volume: 14, Issue:1

    Topics: Acetaminophen; Acidosis; Acute Kidney Injury; Aged; Anti-Bacterial Agents; Antipyretics; Bacteremia;

2021
Malnourishment-Associated Acetaminophen Toxicity in Pregnancy.
    Obstetrics and gynecology, 2021, 05-01, Volume: 137, Issue:5

    Topics: Acetaminophen; Acidosis; Adult; Diagnosis, Differential; Female; Humans; Malnutrition; Poisoning; Pr

2021
Letter to the Editor: A Further Possible Complication of Therapeutic Acetaminophen: Pyroglutamic Acidosis.
    Hepatology (Baltimore, Md.), 2021, Volume: 74, Issue:6

    Topics: Acetaminophen; Acidosis; Analgesics, Non-Narcotic; Humans

2021
[Chronic paracetamol intoxication : under-diagnosed iatrogenic cause of metabolic acidosis with increased anion gap].
    Revue medicale de Liege, 2021, Volume: 76, Issue:7-8

    Topics: Acetaminophen; Acid-Base Equilibrium; Acidosis; Humans; Iatrogenic Disease; Pyrrolidonecarboxylic Ac

2021
Metabolic acidosis caused by concomitant use of paracetamol (acetaminophen) and flucloxacillin? A case report and a retrospective study.
    European journal of clinical pharmacology, 2017, Volume: 73, Issue:11

    Topics: Acetaminophen; Acidosis; Aged; Analgesics, Non-Narcotic; Anti-Bacterial Agents; Drug Interactions; F

2017
Quantification of paracetamol and 5-oxoproline in serum by capillary electrophoresis: Implication for clinical toxicology.
    Journal of pharmaceutical and biomedical analysis, 2017, Oct-25, Volume: 145

    Topics: Acetaminophen; Acidosis; Analgesics, Non-Narcotic; Electrophoresis, Capillary; Humans; Pyrrolidoneca

2017
The Many Shades of Dyspnea.
    The American journal of medicine, 2018, Volume: 131, Issue:1

    Topics: Acetaminophen; Acidosis; Aged, 80 and over; Analgesics, Non-Narcotic; Dyspnea; Female; Humans

2018
[Acetaminophen induced 5-oxoproline acidosis: An uncommon case of high anion gap metabolic acidosis].
    La Revue de medecine interne, 2018, Volume: 39, Issue:2

    Topics: Acetaminophen; Acid-Base Equilibrium; Acidosis; Aged; Amino Acid Metabolism, Inborn Errors; Analgesi

2018
[High anion gap metabolic acidosis (pyroglutamic acidosis) induced by chronic acetaminophen use].
    Revue medicale de Liege, 2018, Volume: 73, Issue:1

    Topics: Acetaminophen; Acidosis; Analgesics, Non-Narcotic; Female; Humans; Middle Aged; Prescription Drug Ov

2018
Recurrent Pyroglutamic Acidosis Related to Therapeutic Acetaminophen.
    The American journal of the medical sciences, 2018, Volume: 355, Issue:4

    Topics: Acetaminophen; Acidosis; Adult; Female; Humans; Pyrrolidonecarboxylic Acid; Recurrence; Treatment Ou

2018
[Metabolic Acidosis under Acetaminophen Intake - an Unordinary Side Effect].
    Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS, 2018, Volume: 53, Issue:10

    Topics: Acetaminophen; Acidosis; Aged; Amoxicillin; Analgesics, Non-Narcotic; Anti-Bacterial Agents; Diagnos

2018
Pyroglutamic acidosis.
    QJM : monthly journal of the Association of Physicians, 2019, Aug-01, Volume: 112, Issue:8

    Topics: Acetaminophen; Acidosis; Aged; Analgesics, Non-Narcotic; Humans; Male; Pain Management; Pyrrolidonec

2019
An Under-Recognised Cause of Iatrogenic, Severe Metabolic Acidosis
    Irish medical journal, 2019, 04-11, Volume: 112, Issue:4

    Topics: Acetaminophen; Acetylcysteine; Acidosis; Aged, 80 and over; Anti-Bacterial Agents; Antipyretics; Art

2019
Coma, metabolic acidosis, and methemoglobinemia in a patient with acetaminophen toxicity.
    Journal of population therapeutics and clinical pharmacology = Journal de la therapeutique des populations et de la pharmacologie clinique, 2013, Volume: 20, Issue:3

    Topics: Acetaminophen; Acidosis; Aged; Analgesics, Non-Narcotic; Coma; Female; Humans; Methemoglobinemia

2013
Pyroglutamic acid-induced metabolic acidosis: a case report.
    Acta clinica Belgica, 2014, Volume: 69, Issue:3

    Topics: Acetaminophen; Acidosis; Anti-Bacterial Agents; Antipyretics; Female; Fever; Floxacillin; Humans; Mi

2014
Use of anion gap in the evaluation of a patient with metabolic acidosis.
    American journal of kidney diseases : the official journal of the National Kidney Foundation, 2014, Volume: 64, Issue:4

    Topics: Acetaminophen; Acetylcysteine; Acid-Base Equilibrium; Acidosis; Aged, 80 and over; Bicarbonates; Con

2014
Acetaminophen-induced anion gap metabolic acidosis secondary to 5-oxoproline: a case report.
    Journal of medical case reports, 2014, Dec-06, Volume: 8

    Topics: Acetaminophen; Acid-Base Equilibrium; Acidosis; Aged; Analgesics, Non-Narcotic; Female; Humans; Pyrr

2014
Transient 5-oxoprolinuria: unusually high anion gap acidosis in an infant.
    European journal of pediatrics, 2015, Volume: 174, Issue:12

    Topics: Acetaminophen; Acid-Base Equilibrium; Acidosis; Amino Acid Metabolism, Inborn Errors; Analgesics, No

2015
Chronic Acetaminophen Use Associated with Anion-Gap Metabolic Acidosis.
    The American journal of medicine, 2016, Volume: 129, Issue:8

    Topics: Acetaminophen; Acid-Base Equilibrium; Acidosis; Adult; Analgesics, Non-Narcotic; Female; Humans; Tim

2016
The acetaminophen metabolite N-acetyl-p-benzoquinone imine (NAPQI) inhibits glutathione synthetase in vitro; a clue to the mechanism of 5-oxoprolinuric acidosis?
    Xenobiotica; the fate of foreign compounds in biological systems, 2017, Volume: 47, Issue:2

    Topics: Acetaminophen; Acidosis; Benzoquinones; Glutathione; Glutathione Synthase; Imines

2017
Metabolic acidosis and 5-oxoprolinuria induced by flucloxacillin and acetaminophen: a case report.
    Journal of medical case reports, 2016, Jun-23, Volume: 10, Issue:1

    Topics: Acetaminophen; Acid-Base Equilibrium; Acidosis; Aged, 80 and over; Amino Acid Metabolism, Inborn Err

2016
Advanced Age and Female Sex As Risk Factors for High Anion Gap Metabolic Acidosis After a Drug Interaction Between Paracetamol and Flucloxacillin: A Case Series.
    Journal of the American Geriatrics Society, 2016, Volume: 64, Issue:10

    Topics: Acetaminophen; Acid-Base Equilibrium; Acidosis; Age Factors; Aged; Aged, 80 and over; Analgesics, No

2016
Pyroglutamic acidosis in association with therapeutic paracetamol use.
    Clinical medicine (London, England), 2016, Volume: 16, Issue:6

    Topics: Acetaminophen; Acidosis; Adult; Aged; Analgesics, Non-Narcotic; Female; Humans; Male; Middle Aged; P

2016
Paracetamol-induced 5-oxoprolinuira and high anion gap metabolic acidosis in a child on a ketogenic diet.
    Annals of clinical biochemistry, 2008, Volume: 45, Issue:Pt 4

    Topics: Acetaminophen; Acidosis; Amino Acid Metabolism, Inborn Errors; Analgesics; Child; Diet; Humans; Keto

2008
Guilty as charged: unmeasured urinary anions in a case of pyroglutamic acidosis.
    The Netherlands journal of medicine, 2008, Volume: 66, Issue:8

    Topics: Acetaminophen; Acid-Base Equilibrium; Acidosis; Aged; Anions; Anti-Bacterial Agents; Cations; Female

2008
Acetaminophen-induced acute pancreatitis. A case report.
    JOP : Journal of the pancreas, 2009, Sep-04, Volume: 10, Issue:5

    Topics: Acetaminophen; Acidosis; Adult; Drug Overdose; Female; Humans; Pancreatitis

2009
Massive acetaminophen ingestion with early metabolic acidosis and coma: treatment with IV NAC and continuous venovenous hemodiafiltration.
    Clinical toxicology (Philadelphia, Pa.), 2010, Volume: 48, Issue:2

    Topics: Acetaminophen; Acetylcysteine; Acidosis; Analgesics, Non-Narcotic; Antidotes; Coma; Combined Modalit

2010
[Severe metabolic acidosis as a result of 5-oxoproline in acetaminophen use].
    Nederlands tijdschrift voor geneeskunde, 2010, Volume: 154

    Topics: Acetaminophen; Acid-Base Equilibrium; Acidosis; Aged, 80 and over; Female; Humans; Pyrrolidonecarbox

2010
5-oxoproline-induced anion gap metabolic acidosis after an acute acetaminophen overdose.
    The Journal of the American Osteopathic Association, 2010, Volume: 110, Issue:9

    Topics: Acetaminophen; Acetylcysteine; Acid-Base Equilibrium; Acidosis; Acute Disease; Adult; Analgesics, No

2010
Profound metabolic acidosis from pyroglutamic acidemia: an underappreciated cause of high anion gap metabolic acidosis.
    CJEM, 2010, Volume: 12, Issue:5

    Topics: Acetaminophen; Acid-Base Equilibrium; Acidosis; Adult; Diagnosis, Differential; Female; Humans; Opio

2010
"Massive acetaminophen ingestion with early metabolic acidosis and coma: treatment with iv nac and continuous venovenous hemodiafiltration" by Wiegand et al., Clin Toxicol (Phila) 48:156-159.
    Clinical toxicology (Philadelphia, Pa.), 2010, Volume: 48, Issue:9

    Topics: Acetaminophen; Acetylcysteine; Acidosis; Analgesics, Non-Narcotic; Coma; Drug Overdose; Half-Life; H

2010
A gargantuan acetaminophen level in an acidemic patient treated solely with intravenous N-acetylcysteine.
    American journal of therapeutics, 2013, Volume: 20, Issue:1

    Topics: Acetaminophen; Acetylcysteine; Acidosis; Analgesics, Non-Narcotic; Antidotes; Drug Overdose; Female;

2013
Mind the gap! An unusual metabolic acidosis.
    Lancet (London, England), 2011, Feb-05, Volume: 377, Issue:9764

    Topics: Acetaminophen; Acetylcysteine; Acidosis; Anti-Bacterial Agents; Antioxidants; Female; Floxacillin; H

2011
5-oxoprolinemia causing elevated anion gap metabolic acidosis in the setting of acetaminophen use.
    The Journal of emergency medicine, 2012, Volume: 43, Issue:1

    Topics: Acetaminophen; Acetylcysteine; Acid-Base Equilibrium; Acidosis; Adult; Amino Acid Metabolism, Inborn

2012
5-Oxoprolinuria as a cause of high anion gap metabolic acidosis.
    British journal of clinical pharmacology, 2012, Volume: 73, Issue:3

    Topics: Acetaminophen; Acid-Base Equilibrium; Acidosis; Adult; Amino Acid Metabolism, Inborn Errors; Bicarbo

2012
[Early coma and metabolic acidosis after massive paracetamol self poisoning].
    Annales francaises d'anesthesie et de reanimation, 2012, Volume: 31, Issue:2

    Topics: Acetaminophen; Acidosis; Coma; Female; Humans; Middle Aged

2012
Madam, why are you so sour? Cause, diagnosis and complication of 5-oxoprolinemia.
    European journal of anaesthesiology, 2012, Volume: 29, Issue:8

    Topics: Acetaminophen; Acid-Base Equilibrium; Acidosis; Aged; Amino Acid Metabolism, Inborn Errors; Analgesi

2012
Refractory metabolic acidosis in patients with sepsis following hemiarthroplasty for femoral neck fracture: a causative role for paracetamol and flucloxacillin?
    BMJ case reports, 2011, Jul-20, Volume: 2011

    Topics: Acetaminophen; Acidosis; Aged, 80 and over; Analgesics, Non-Narcotic; Anti-Bacterial Agents; Female;

2011
Severe anion gap metabolic acidosis from acetaminophen use secondary to 5-oxoproline (pyroglutamic acid) accumulation.
    The American journal of the medical sciences, 2012, Volume: 344, Issue:6

    Topics: Acetaminophen; Acid-Base Equilibrium; Acidosis; Acute Disease; Aged; Analgesics, Non-Narcotic; Femal

2012
A reproducible, clinically relevant, intensively managed, pig model of acute liver failure for testing of therapies aimed to prolong survival.
    Liver international : official journal of the International Association for the Study of the Liver, 2013, Volume: 33, Issue:4

    Topics: Acetaminophen; Acid-Base Equilibrium; Acidosis; Animals; Biomarkers; Cardiovascular Diseases; Chemic

2013
Metabolic acidosis and coma in a child with acetaminophen toxicity.
    Clinical pediatrics, 2004, Volume: 43, Issue:2

    Topics: Acetaminophen; Acidosis; Coma; Female; Humans; Infant

2004
Recurrent high anion gap metabolic acidosis secondary to 5-oxoproline (pyroglutamic acid).
    American journal of kidney diseases : the official journal of the National Kidney Foundation, 2005, Volume: 46, Issue:1

    Topics: Acetaminophen; Acid-Base Equilibrium; Acidosis; Amino Acid Metabolism, Inborn Errors; Anorexia; Bica

2005
Acetaminophen-induced anion gap metabolic acidosis and 5-oxoprolinuria (pyroglutamic aciduria) acquired in hospital.
    American journal of kidney diseases : the official journal of the National Kidney Foundation, 2005, Volume: 46, Issue:1

    Topics: Acetaminophen; Acid-Base Equilibrium; Acidosis; Adult; Analgesics, Non-Narcotic; Antineoplastic Comb

2005
Method for screening and quantitative determination of serum levels of salicylic Acid, acetaminophen, theophylline, phenobarbital, bromvalerylurea, pentobarbital, and amobarbital using liquid chromatography/electrospray mass spectrometry.
    Biological & pharmaceutical bulletin, 2006, Volume: 29, Issue:1

    Topics: Acetaminophen; Acidosis; Adult; Amobarbital; Analgesics, Non-Narcotic; Bromisovalum; Calibration; Ch

2006
The acidifying effect of lactate is neutralized by the alkalinizing effect of hypoalbuminemia in non-paracetamol-induced acute liver failure.
    Journal of hepatology, 2006, Volume: 45, Issue:3

    Topics: Acetaminophen; Acid-Base Equilibrium; Acidosis; Adult; Albumins; Analgesics, Non-Narcotic; Case-Cont

2006
An unusual cause of severe metabolic acidosis.
    The Medical journal of Australia, 2006, Aug-21, Volume: 185, Issue:4

    Topics: Acetaminophen; Acidosis; Acute Kidney Injury; Analgesics, Non-Narcotic; Anti-Bacterial Agents; Floxa

2006
Coma, metabolic acidosis and normal liver function in a child with a large serum acetaminophen level.
    Annals of emergency medicine, 2006, Volume: 48, Issue:5

    Topics: Acetaminophen; Acidosis; Child, Preschool; Coma; Drug-Related Side Effects and Adverse Reactions; Fe

2006
High anion gap metabolic acidosis secondary to pyroglutamic aciduria (5-oxoprolinuria): association with prescription drugs and malnutrition.
    Annals of clinical biochemistry, 2007, Volume: 44, Issue:Pt 4

    Topics: Acetaminophen; Acid-Base Equilibrium; Acidosis; Aged, 80 and over; Analgesics, Non-Narcotic; Anti-Ba

2007
Profound metabolic acidosis and oxoprolinuria in an adult.
    Journal of medical toxicology : official journal of the American College of Medical Toxicology, 2007, Volume: 3, Issue:3

    Topics: Acetaminophen; Acidosis; Analgesics, Non-Narcotic; Critical Illness; Female; Humans; Metabolic Disea

2007
Anion gap acidosis with hypoglycemia in acetaminophen toxicity.
    Annals of emergency medicine, 1984, Volume: 13, Issue:10

    Topics: Acetaminophen; Acid-Base Imbalance; Acidosis; Acute Kidney Injury; Adult; Chemical and Drug Induced

1984
[Rare side effects following paracetamol poisoning].
    Harefuah, 1984, Feb-01, Volume: 106, Issue:3

    Topics: Acetaminophen; Acidosis; Adolescent; Chemical and Drug Induced Liver Injury; Female; Humans; Methemo

1984
Severe metabolic acidosis early in paracetamol poisoning.
    British medical journal (Clinical research ed.), 1982, Sep-25, Volume: 285, Issue:6345

    Topics: Acetaminophen; Acidosis; Female; Humans; Lactates; Middle Aged; Time Factors

1982
Metabolic acidosis in paracetamol poisoning.
    British medical journal (Clinical research ed.), 1982, Oct-23, Volume: 285, Issue:6349

    Topics: Acetaminophen; Acidosis; Adolescent; Adult; Female; Humans; Lactates

1982
Serious paracetamol poisoning and the results of liver transplantation.
    Gut, 1994, Volume: 35, Issue:6

    Topics: Acetaminophen; Acidosis; Adolescent; Adult; Aged; Female; Hepatic Encephalopathy; Humans; Liver Fail

1994
Transient 5-oxoprolinuria and high anion gap metabolic acidosis: clinical and biochemical findings in eleven subjects.
    Clinical chemistry, 1998, Volume: 44, Issue:7

    Topics: 3-Hydroxybutyric Acid; Acetaminophen; Acidosis; Adolescent; Adult; Aged; Aged, 80 and over; Analgesi

1998
Early metabolic acidosis and coma after acetaminophen ingestion.
    Annals of emergency medicine, 1999, Volume: 33, Issue:4

    Topics: Acetaminophen; Acidosis; Adolescent; Adult; Analgesics, Non-Narcotic; Chemical and Drug Induced Live

1999
Metabolic acidosis and coma following a severe acetaminophen overdose.
    The Annals of pharmacotherapy, 1999, Volume: 33, Issue:11

    Topics: Acetaminophen; Acidosis; Adult; Coma; Drug Overdose; Female; Humans

1999
Metabolic acidosis and coma after acetaminophen ingestion.
    Annals of emergency medicine, 1999, Volume: 34, Issue:5

    Topics: Acetaminophen; Acidosis; Analgesics, Non-Narcotic; Coma; Humans

1999
Anion gap acidosis associated with acetaminophen.
    Annals of internal medicine, 2000, Nov-07, Volume: 133, Issue:9

    Topics: Acetaminophen; Acid-Base Equilibrium; Acidosis; Adult; Analgesics, Non-Narcotic; Female; Humans; Pyr

2000
Comparative serum and urine analyses by dual-detector anion-exchange chromatography.
    Journal of chromatography, 1975, Feb-12, Volume: 104, Issue:2

    Topics: Absorption; Acetaminophen; Acidosis; Chromatography, Ion Exchange; Humans; Hydrogen-Ion Concentratio

1975
Acetaminophen overdoses at a county hospital: a year's experience.
    Southern medical journal, 1978, Volume: 71, Issue:11

    Topics: Acetaminophen; Acidosis; Adult; Amylases; Chemical and Drug Induced Liver Injury; Female; Hospitals,

1978
The killing of cultured hepatocytes by N-acetyl-p-benzoquinone imine (NAPQI) as a model of the cytotoxicity of acetaminophen.
    Biochemical pharmacology, 1991, Apr-15, Volume: 41, Issue:8

    Topics: Acetaminophen; Acidosis; Adenosine Triphosphate; Animals; Benzoflavones; Benzoquinones; beta-Naphtho

1991
Paracetamol-associated coma, metabolic acidosis, renal and hepatic failure.
    Intensive care medicine, 1988, Volume: 14, Issue:4

    Topics: Acetaminophen; Acidosis; Acute Kidney Injury; Adult; Chemical and Drug Induced Liver Injury; Coma; F

1988
Coma and metabolic acidosis early in severe acute paracetamol poisoning.
    Human toxicology, 1986, Volume: 5, Issue:3

    Topics: Acetaminophen; Acetylcysteine; Acidosis; Adolescent; Aged; Blood Gas Analysis; Chemical and Drug Ind

1986
Acute paracetamol poisoning.
    British medical journal, 1970, Sep-05, Volume: 3, Issue:5722

    Topics: Acetaminophen; Acidosis; Acute Disease; Acute Kidney Injury; Adolescent; Adult; Aged; Chemical and D

1970