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Radiological Features of Paraquat Herbicide Poisoning: A Case Report

Khosrow Agin, Shahin Shadnia, Babak Mostafazadeh
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Abstract

Paraquat (PQ) is a herbicide with potent toxicity. The most frequent human poisoning occurs by ingestion and inhalation. Its clinical feature includes pulmonary edema in the first 48 hours post-toxicity with progression to acute respiratory distress syndrome. A 50-year-old male poisoned patient referred to the emergency department with the complaint of shortness of breath. His companions had an herbicide poison bottle. Respiratory failure gradually intensified. The patient was intubated and under mechanical ventilation for one month. kidney and liver insufficiency were gradually added to the patient’s clinical feature in the following days. He died with multiorgan failures one month later. Standard chest X-ray is not beneficial for assessing PQ intoxication. High resolution computed tomography scan is recommended at day 7 post-ingestion for evaluating PQ poisoning.


Keywords

Paraquat, Poisoning, CT Imaging, Chest Xray, Iran

References

‎1.‎ Wikipedia. Paraquat. [Internet]. 2019 [Updated 2019 April 8]. Available from: https://en.wikipedia.org/wiki/Paraquat

‎2.‎ Seok SJ, Gil HW, Jeong DS, Yang JO, Lee EY, Hong SY. Paraquat intoxication in subjects who attempt suicide: Why they chose ‎paraquat. The Korean Journal of Internal Medicine. 2009; 24(3):247-51. [DOI:10.3904/kjim.2009.24.3.247]‎

‎3.‎ Jamshidi F, Fathi G, Davoodzadeh H. [Investigation Paraquat Poisoning in Southwest of Iran- from sign to mortality and morbidity ‎‎(Polish)]. Archives of Forensic Medicine and Criminology. 2017; 67(1):35-45. [DOI:10.5114/amsik.2017.70336]‎

‎4.‎ Gil HW, Hong JR, Jang SH, Hong SY. Diagnostic and therapeutic approach for acute paraquat intoxication. The Korean Journal of ‎Internal Medicine. 2014; 29(11):1441-9. [DOI:10.3346/jkms.2014.29.11.1441]‎

‎5.‎ Im JG, Lee KS, Han MC, Kim SJ, Kim IO. Paraquat poisoning: findings on chest radiography and CT in 42 patients. American ‎Journal of Roentgenology. 1991; 157(4):697-701. [DOI:10.2214/ajr.157.4.1892020]‎

‎6.‎ Kavousi-Gharbi S, Jalli R, Rasekhi-Kazerouni A, Habibagahi Z, Marashi SM1. Discernment scheme for paraquat poisoning: A five-‎year experience in Shiraz, Iran. World Journal of Experimental Medicine. 2017; 7(1):31-9. [DOI:10.5493/wjem.v7.i1.31]‎

‎7.‎ Zhang H, Liu P, Qiao P, Zhou J, Zhao Y, Xing X, et al. CT imaging as a prognostic indicator for patients with pulmonary injury ‎from acute paraquat poisoning. The British Journal of Radiology. 2013; 86(1026):20130035. [DOI:10.1259/bjr.20130035]‎

‎8.‎ Kang X, Hu DY, Li CB, Li XH, Fan SL, Liu Y, et al. The volume ratio of ground glass opacity in early lung CT predicts mortality in ‎acute paraquat poisoning. PLOS One. 2015; 10(4):e0121691. [DOI:10.1371/journal.pone.0121691]‎




DOI: https://doi.org/10.22037/ijmtfm.v9i2%20(Spring).25044