Emergency department,Tianjin Medical University General Hospital, Tianjin, 300052, China.
BMC Pulm Med. 2024 Oct 25;24(1):533. doi: 10.1186/s12890-024-03353-7.
This paper reports on a 22-year-old male presenting with persistent chest pain accompanied by mediastinal emphysema. We firstly considered mediastinal emphysema induced by community acquired pneumonia. Pathogen detection was performed but no positive results were found. Based on the results of a subsequent lung CT scan, paraquat poisoning was suspected. Although there was no trace of paraquat in the blood, the nebulizer masks used by patient at home was found to be positive for paraquat. The diagnosis was ultimately established as paraquat poisoning via inhalation with mediastinal emphysema. This case report explores the clinical manifestations, diagnostic challenges, and treatment complexities of inhaled paraquat poisoning, emphasizing the importance of recognizing this rare poisoning route and its atypical symptoms.
这篇论文报告了一名 22 岁男性患者，他持续胸痛并伴有纵隔气肿。我们首先考虑了社区获得性肺炎引起的纵隔气肿。进行了病原体检测，但未发现阳性结果。根据随后的肺部 CT 扫描结果，怀疑为百草枯中毒。虽然血液中没有百草枯的痕迹，但在家中使用的喷雾器面罩检测出百草枯阳性。最终诊断为纵隔气肿吸入性百草枯中毒。本病例报告探讨了吸入性百草枯中毒的临床表现、诊断挑战和治疗复杂性，强调了认识这种罕见中毒途径及其非典型症状的重要性。
