Mansouri Vahid, Rostamian Alireza, Bemanalizadeh Maryam
Department of Clinical Toxicology, School of Medicine, Noor Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
Adv Biomed Res. 2021 Oct 27;10:32. doi: 10.4103/abr.abr_236_20. eCollection 2021.
Paraquat is a highly toxic compound and a widely used herbicide that causes serious morbidity and mortality. The most well-known route of poisoning is oral ingestion, whereas parenteral injection of paraquat is individually uncommon. We present a case who injected paraquat in his neck in an attempt to commit suicide. His general condition got worsened gradually over 3 days. He received early hemodialysis in 4 h after self-injection and then supportive treatment in intensive care unit. Early hemodialysis helped him survive, but during hospitalization, some rare complications occurred, and unfortunately, he died after 3 months. Despite the high-risk route of poisoning, the patient survived for 3 months. Our patient was protected from renal and hepatic damage may be because of early hemodialysis but suffered from central nervous system and pulmonary damage.
百草枯是一种剧毒化合物，是一种广泛使用的除草剂，可导致严重的发病和死亡。最广为人知的中毒途径是口服摄入，而经肠胃外注射百草枯的情况个别来说并不常见。我们报告一例为自杀而在颈部注射百草枯的病例。他的一般状况在3天内逐渐恶化。他在自我注射后4小时接受了早期血液透析，然后在重症监护病房接受支持治疗。早期血液透析帮助他存活下来，但在住院期间，出现了一些罕见的并发症，不幸的是，他在3个月后死亡。尽管中毒途径风险高，但患者存活了3个月。我们的患者可能由于早期血液透析而免受肾和肝损伤，但遭受了中枢神经系统和肺部损伤。
