Document Detail


A fatal case of paraquat ingestion: clinical course and review of pathophysiology.
MedLine Citation:
PMID:  21119584     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Exposure to the dipyridyl herbicide paraquat can cause many manifestations of toxicity, and is a common method of suicide in developing countries.
CASE REPORT: We present a case of a 20 year old healthy gentleman who intentionally overdosed on paraquat in a suicide attempt. He presented to the hospital within 4 hours of ingestion. Despite standard supportive measures, the patient's clinical condition worsened. He developed ulceration of his oral mucosa. He also developed acute non-oliguric renal failure and acute liver injury. After his mental status began to deteriorate, the patient expired.
CONCLUSIONS: There are several therapies that may have helped this patient's condition. An explanation about the pathophysiology of toxicity and updated information on treatment is provided for this common condition with poor prognosis.
Authors:
Douglas P Olson; Juan A Diaz; Jose Dalio Gomez Jereda
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Medical science monitor : international medical journal of experimental and clinical research     Volume:  16     ISSN:  1643-3750     ISO Abbreviation:  Med. Sci. Monit.     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-12-01     Completed Date:  2011-03-16     Revised Date:  2011-06-14    
Medline Journal Info:
Nlm Unique ID:  9609063     Medline TA:  Med Sci Monit     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  CS153-6     Citation Subset:  IM    
Affiliation:
Hospital Tela Integrado, Tela, Honduras. Douglas.olson@yale.edu
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MeSH Terms
Descriptor/Qualifier:
Antioxidants / therapeutic use
Blood Chemical Analysis
Burns, Chemical / drug therapy*,  physiopathology
Drug-Induced Liver Injury / physiopathology*
Fatal Outcome
Humans
Male
Overdose
Paraquat / poisoning*
Renal Insufficiency / chemically induced,  physiopathology*
Suicide*
Young Adult
Chemical
Reg. No./Substance:
0/Antioxidants; 4685-14-7/Paraquat

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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