Abstract
A 15-year-old boy was brought to the emergency department by his parents, who were concerned about his mental status and incoherent speech. He had hematemesis earlier in the day. Four days before admission, the patient had multiple episodes of non-bloody emesis, followed a day later by several watery, non-bloody stools and crampy abdominal pain. Two days before admission, he was diagnosed at an outpatient clinic with possible food poisoning or viral gastroenteritis. Acetaminophen in a therapeutic dosage was prescribed along with antinausea medication and loperamide hydrochloride (Imodium AD). On the day of admission to the hospital, his symptoms had worsened, and he had become unresponsive.
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