Paradoxical systemic toxicity by inhaled paraquat poisoning: A case report  

作　　者：Tulika Garg Jaspreet Kaur Yuvraj Singh Cheema 

机构地区：[1]Department of General Medicine,Government Medical College and Hospital,Chandigarh,India

出　　处：《Journal of Acute Disease》2024年第1期40-42,I0001-I0005,共8页急性病杂志（英文版）

摘　　要：Rationale:Multi-organ failure is a symptom of paraquat poisoning,resulting in high mortality and morbidity rates.Though paraquat is widely available,poisoning through inhalation is rare.Patient’s Concern:A 37-year-old male reported to the emergency department with complaints of vomiting after an alleged history of inhalation of paraquat while at work.Diagnosis:Paraquat poisoning.Interventions:Supportive management along with multiple sessions of hemodialysis.Outcomes:Renal complications caused by paraquat were improved after multiple sessions of hemodialysis.However,the patient developed respiratory complications and later due to persistent hypoxemia and non-responsive to supportive therapy,he succumbed to his illness.Lessons:Acute kidney injury is a complication of paraquat poisoning.However,kidney involvement with the inhalational mode is rare.It is caused by reduction and oxidation cycles,as well as the formation of reactive oxygen species,necessitating hemodialysis as the treatment.Without a clear history,a specific clinical trait,or a diagnostic test,diagnosis can be difficult.Our case thus highlights the inhaled paraquat poisoning,presenting with acute kidney injury with late respiratory impairment as a consequence.

关 键 词：Paraquat poisoning PESTICIDE Acute kidney injury Respiratory insufficiency HEMODIALYSIS 

分 类 号：R595.4[医药卫生—内科学]