A RARE CASE OF SURVIVAL FROM ACUTE PARAQUAT POISONING
Journal Title: IJSR-International Journal Of Scientific Research - Year 2017, Vol 6, Issue 7
Abstract
Introduction: Paraquat (1, r-dimethyl-4,4'-bipyridium dichloride), a brown syrupy liquid is an effective herbicide that has low chronic toxicity with poor prognosis.at present there is no specic antidote to paraquat poisoning. Case report: A 15 years male child was admitted to the emergency room Dhiraj hospital with an alleged history of accidental ingestion of unknown quantity of paraquat at his home. He had complain of throat pain and burning sensation of throat and stomach. There were two episode of vomiting after 2 hours of ingestion. On admission he was conscious and oriented. On physical examination patient was afebrile with HR 122/min, RR 60/MIN, SPO2 85% on room air with 2 lit o2 SPO2 95% with hypertension (140/98) >95th percentile. Pupils were normal sized and B/L reactive to light. On systemic examination auscultation of lungs revealed B/L crepitation with mild respiratory distress, per abdomen hepatomegaly, and CVS examination revealed loud P2 with tachycardia. After 25 days of ingestion he developed focal seizure involving left Upper limb and left lower limb. Conclusion: Paraquat a herbicide which mainly involves lungs and kidney leading to pulmonary brosis and acute kidney injury. There is not specic antidote of this poison. Treatment remains supportive. Antioxidant vitamin E vitamin C and N acetyl cysteine are helpful in preventing the damage cause by free radicals. Oxigen is contraindicated in its treatment.
Authors and Affiliations
Dr. Sunil Pathak, Dr. Unnati Shah, Dr. Dulari Gandhi
Keywords
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