Editor—Neonatal paracetamol poisoning is rare. To date, there have been no definitive therapeutic guidelines for its management. We describe the successful use of N-acetylcysteine in the management of a term infant who had transplacentally acquired paracetamol poisoning.

A 2.88 kg term infant was born at home to an 18 year old single mother. Five hours after delivery the mother admitted to taking about 40 tablets (20 g) of paracetamol three hours before delivery. Investigations performed on both mother …