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Paraquat intoxication: a case report

Year 2011, Volume: 17 Issue: 3, 166 - 168, 01.04.2011

Abstract

Paraquat, a widely used herbicide, causes high morbidity and mortality in people when taken accidentally or for suicidal intent. In this study our aim is to present the treatment and follow up of a 23 years old young lady after a history of suicide attempt in the emergency department after taking large amount of paraquat. The patient was initially asymptomatic and in follow up care gastrointestinal, renal and liver toxicity developed. Patients with severe paraquat poisoning may be asymptomatic after ingestion, but may deteriorate rapidly within a few hours. Therefore, in the case of taking high dose paraquat, the patient needs long term follow up for liver, kidney and lung effects even if he is asymptomatic.

References

  • 1.Robey WC, Meggs WJ. Insecticides, Herbicides, Rodenticides In: Tintinalli JE, Kelen GD, Stapczynki JS, eds. Emergency Medicine: A Comprehensive Study Guide. 8th ed. New York, NY: McGraw&Hill; 2010:1302-3
  • 2. Onyeama HP, Oehme FW. A literature review of paraquat toxicity. Vet Hum Toxicol 1984;26(6):494-502
  • 3. Sittipunt C. Paraquat poisoning. Respir Care 2005;50(3):383-5
  • 4. Sabzghabaee AM, Eizadi-Mood N, Montazeri K, Yaraghi A, Golabi M. Fatality in paraquat poisoning. Singapore Med J 2010;51(6):496-500
  • 5. Vale JA, Meredith TJ, Buckley BM. Paraquat poisoning: clinical features and immediate general management. Human Toxicol 1987;6(1):41-7
  • 6. Dinis-Oliveira RJ, Sarmento A, Reis P, Amaro A, Remião F, Bastos ML, et al. Acute paraquat poisoning: report of a survival case following intake of a potential lethal dose. Pediatr Emerg Care 2006;22(7):537-40
  • 7. Klein-Schwartz W, Smith GS. Agricultural and horticultural chemical poisonings: mortality and morbidity in the United States. Ann Emerg Med 1997;29(2):232-8
  • 8. Choi Y, Cho K, Yoon S, Lee H, Choi Y. A case of paraquat intoxication caused by intravenous injection. Am J Emerg Med 2008;26(7):836.e3-4
  • 9. Kim SJ, Gil HW, Yang JO, Lee EY, Hong SY. The clinical features of acute kidney injury in patients with acute paraquat intoxication. Nephrol Dial Transplant 2009;24(4):1226-32.

Parakuat intoksikasyonu: olgu sunumu

Year 2011, Volume: 17 Issue: 3, 166 - 168, 01.04.2011

Abstract

Zararlı bitkileri öldürmek amacıyla (herbisit) yaygın olarak kullanılan parakuat insanlarda da kazara ya da intihar amaçlı kullanıldığında yüksek oranda morbidite ve mortaliteye neden olmaktadır. İntihar amaçlı yüksek miktarda parakuat alım öyküsü sonrasında başlangıçta asemptomatik olup takiplerinde gastrointestinal, böbrek ve karaciğer etkilenmesi gelişen ve acil serviste takip ve tedavisi yapılan 23 yaşında genç bayan olguyu sunmaktayız. Ciddi parakuat zehirlenmesi olan hastalar alımından sonra asemptomatik olabilir, ancak birkaç saat içinde hızla bozulabilir. Bu nedenle parakuat alımlarında asemptomatik olsa bile hasta karaciğer, böbrek ve akciğer etkileri açısından uzun süre takip edilmelidir.

References

  • 1.Robey WC, Meggs WJ. Insecticides, Herbicides, Rodenticides In: Tintinalli JE, Kelen GD, Stapczynki JS, eds. Emergency Medicine: A Comprehensive Study Guide. 8th ed. New York, NY: McGraw&Hill; 2010:1302-3
  • 2. Onyeama HP, Oehme FW. A literature review of paraquat toxicity. Vet Hum Toxicol 1984;26(6):494-502
  • 3. Sittipunt C. Paraquat poisoning. Respir Care 2005;50(3):383-5
  • 4. Sabzghabaee AM, Eizadi-Mood N, Montazeri K, Yaraghi A, Golabi M. Fatality in paraquat poisoning. Singapore Med J 2010;51(6):496-500
  • 5. Vale JA, Meredith TJ, Buckley BM. Paraquat poisoning: clinical features and immediate general management. Human Toxicol 1987;6(1):41-7
  • 6. Dinis-Oliveira RJ, Sarmento A, Reis P, Amaro A, Remião F, Bastos ML, et al. Acute paraquat poisoning: report of a survival case following intake of a potential lethal dose. Pediatr Emerg Care 2006;22(7):537-40
  • 7. Klein-Schwartz W, Smith GS. Agricultural and horticultural chemical poisonings: mortality and morbidity in the United States. Ann Emerg Med 1997;29(2):232-8
  • 8. Choi Y, Cho K, Yoon S, Lee H, Choi Y. A case of paraquat intoxication caused by intravenous injection. Am J Emerg Med 2008;26(7):836.e3-4
  • 9. Kim SJ, Gil HW, Yang JO, Lee EY, Hong SY. The clinical features of acute kidney injury in patients with acute paraquat intoxication. Nephrol Dial Transplant 2009;24(4):1226-32.
There are 9 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Suna Eraybar This is me

Ataman Köse This is me

Fatma Özdemir This is me

Akköse Şule Aydın This is me

Publication Date April 1, 2011
Published in Issue Year 2011 Volume: 17 Issue: 3

Cite

APA Eraybar, S., Köse, A., Özdemir, F., Aydın, A. Ş. (2011). Parakuat intoksikasyonu: olgu sunumu. Gaziantep Medical Journal, 17(3), 166-168.
AMA Eraybar S, Köse A, Özdemir F, Aydın AŞ. Parakuat intoksikasyonu: olgu sunumu. Gaziantep Medical Journal. April 2011;17(3):166-168.
Chicago Eraybar, Suna, Ataman Köse, Fatma Özdemir, and Akköse Şule Aydın. “Parakuat Intoksikasyonu: Olgu Sunumu”. Gaziantep Medical Journal 17, no. 3 (April 2011): 166-68.
EndNote Eraybar S, Köse A, Özdemir F, Aydın AŞ (April 1, 2011) Parakuat intoksikasyonu: olgu sunumu. Gaziantep Medical Journal 17 3 166–168.
IEEE S. Eraybar, A. Köse, F. Özdemir, and A. Ş. Aydın, “Parakuat intoksikasyonu: olgu sunumu”, Gaziantep Medical Journal, vol. 17, no. 3, pp. 166–168, 2011.
ISNAD Eraybar, Suna et al. “Parakuat Intoksikasyonu: Olgu Sunumu”. Gaziantep Medical Journal 17/3 (April 2011), 166-168.
JAMA Eraybar S, Köse A, Özdemir F, Aydın AŞ. Parakuat intoksikasyonu: olgu sunumu. Gaziantep Medical Journal. 2011;17:166–168.
MLA Eraybar, Suna et al. “Parakuat Intoksikasyonu: Olgu Sunumu”. Gaziantep Medical Journal, vol. 17, no. 3, 2011, pp. 166-8.
Vancouver Eraybar S, Köse A, Özdemir F, Aydın AŞ. Parakuat intoksikasyonu: olgu sunumu. Gaziantep Medical Journal. 2011;17(3):166-8.