Özet:

In this case report, we aimed to present a patient who presented to the emergency department with confusion and developed multiorgan failure due to the use of non-steroidal anti-inflammatory drugs. A 32-year-old male patient was brought to the emergency department with complaints of drowsiness and confusion. It was said that she did not have any known chronic disease and had no history of alcohol use or substance abuse. In the anamnesis taken from the relatives of the patient, it was learned that she had been using tablets containing naproxen + codeine intermittently for the last 1 year for toothache. On physical examination, her general condition was moderate, she was conscious, sleepy and lethargic, speech disorder, sweating, and bilateral miosis in her pupils were found. Her vitals were stable, except that the oxygen saturation (SaO2) in room air decreased to 89 and SaO2 was> 96 with nasal oxygen support. In the laboratory results, the transaminase elevation exceeding 10 times and prothrombin time prolongation were detected. The patient was treated and followed up in the intensive care unit of the hospital with a preliminary diagnosis of acute liver failure. It should not be forgotten that the use of drugs should be questioned in patients who apply to the emergency department with clouding of consciousness, do not have any comorbid diseases, and especially in young patients. In these patients with hepatic insufficiency, the situations in which transplantation can be performed should not be overlooked. In case of transplantation indication, treatment and follow-up should be done in centers where organ transplantation is performed.

Anahtar Kelimeler: