Acute paraquat poisoning in an adolescent with compromised outcome: A case report

SAGE Open Med Case Rep. 2024 Mar 28:12:2050313X241240098. doi: 10.1177/2050313X241240098. eCollection 2024.

Abstract

Paraquat, a highly toxic herbicide, accounts for a substantial number of poisoning-related fatalities, primarily prevalent in agricultural regions. The ingestion gives rise to severe complications affecting various organs, including the lungs, gastrointestinal tract, kidneys and liver. This report details the case of an 18-year-old male who had been using cannabis for a year and inadvertently ingested paraquat. He presented at the emergency room exhibiting symptoms of vomiting characterized by hematemesis and regurgitated food particles, along with heartburn, dysphagia and reduced urine output. Given the absence of a specific antidote, the prognosis for paraquat poisoning remains generally unfavourable. Diagnosis relies on circumstantial evidence and clinical manifestations, necessitating a focus on supportive care. Presently, no specific antidote for paraquat poisoning is available. Efforts should concentrate on preventive measures, efficient decontamination strategies and vigilant stabilization protocols in instances of exposure.

Keywords: Poisoning; case report; herbicide; herbicide toxicity; mortality; multi-organ failure; paraquat; toxicology.

Publication types

  • Case Reports