Paraquat intoxication: a case report

Öz

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.

Anahtar Kelimeler

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Parakuat intoksikasyonu: olgu sunumu

Öz

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.

Anahtar Kelimeler

• Çoklu organ yetmezliği, parakuat, zehirlenme

Kaynakça

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