Manejo de apoyo en la sobredosis grave de acetaminofén e ibuprofeno veinticuatro horas después de la ingestión en entornos con recursos limitados

derangement at presentation, the patient showed gradual improvement over a prolonged hospital course. After 53 days of supportive therapy, liver function recovered sufficiently, and transplantation was not required according to King's College criteria. This case illustrates that even in severe, late-presenting combined analgesic overdose complicated by acute liver failure and metabolic acidosis, a favorable outcome may still be achieved with comprehensive supportive care alone when advanced therapies are unavailable. It underscores the pivotal role of meticulous supportive management in toxicological