Kaeley Nidhi, Prasad Hari, Kabi Ankita, Raj Alok, Bairwa Archana
Emergency Medicine, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
Emergency Medicine (Anaesthesiology), All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
Cureus. 2021 Nov 5;13(11):e19287. doi: 10.7759/cureus.19287. eCollection 2021 Nov.
Pesticides include insecticides, herbicides, and rodenticides. Pesticide poisoning can be intentional, accidental, or occupational. Around 385 million cases of unintentional acute pesticide poisoning occur annually worldwide, with approximately 11,000 fatalities. Herbicides are used to kill weeds and can include chlorophenoxy compounds, bipyridyls, urea-substituted herbicides, organophosphates, and glyphosate. Paraquat is a bipyridyl nonselective contact herbicide with high mortality rates upon exposure in humans. Paraquat poisoning causes acute lung injury, rarely leading to pneumothorax and pneumomediastinum, referred to as Daisley Barton Syndrome. We report a case of a 22-year-old female from Uttarakhand, India, who accidentally ingested paraquat. She was initially asymptomatic, but later developed lung, liver, and kidney injuries as well as pneumomediastinum and pneumothorax.
农药包括杀虫剂、除草剂和灭鼠剂。农药中毒可能是故意的、意外的或职业性的。全球每年约有3.85亿例非故意急性农药中毒病例，约1.1万人死亡。除草剂用于杀灭杂草，可包括氯苯氧基化合物、联吡啶类、尿素取代除草剂、有机磷和草甘膦。百草枯是一种联吡啶类非选择性接触性除草剂，人体接触后死亡率很高。百草枯中毒会导致急性肺损伤，很少导致气胸和纵隔气肿，即所谓的戴斯利·巴顿综合征。我们报告一例来自印度北阿坎德邦的22岁女性意外摄入百草枯的病例。她最初无症状，但后来出现了肺、肝和肾损伤以及纵隔气肿和气胸。
