Department of Critical Care Medicine, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, PR China.
J Int Med Res. 2021 Jun;49(6):3000605211026117. doi: 10.1177/03000605211026117.
Diquat is a widely used herbicide that is substituted for paraquat. With paraquat off the market, cases of diquat poisoning have been gradually increasing. The kidney is the most frequently impaired organ in diquat poisoning. Few cases of multiple organ failure caused by diquat have been reported.We herein describe a 30-year-old man who orally ingested about 160 mL of enriched diquat. Despite aggressive treatment, the patient's condition progressed to multiple organ failure and death. The pulmonary lesions in this patient were different from those previously reported. This patient did not die of renal failure but of severe respiratory failure. He exhibited three different stages of pulmonary disease.The lung lesions in this case were unique. We hope that doctors will pay more attention to the lung lesions in patients with diquat poisoning in future and find new treatment methods to save the lives of such patients.
敌草快是一种广泛使用的除草剂,可替代百草枯。随着百草枯的退市,敌草快中毒的病例逐渐增多。肾脏是敌草快中毒最常受损的器官。由敌草快引起的多器官衰竭的病例很少报道。本文描述了 1 例 30 岁男性患者口服约 160 毫升敌草快浓缩液中毒。尽管给予了积极的治疗,但患者的病情进展为多器官衰竭并死亡。该患者的肺部病变与以往报道的不同。该患者并非死于肾衰竭,而是死于严重的呼吸衰竭。他表现出三种不同阶段的肺部疾病。本例患者的肺部病变具有独特性。我们希望未来医生能更加关注敌草快中毒患者的肺部病变,并寻找新的治疗方法以挽救此类患者的生命。