Paraquat Poisoning In Children – A Case Report
DOI:
https://doi.org/10.37762/jgmds.9-4.200Keywords:
Poisoning, Children, Herbicide, Paraquat, FatalAbstract
OBJECTIVES
Accidental poisoning in children is a serious public health problem in developing countries, especially where chemicals used in agriculture are ingested. Paraquat is a herbicide which is still used in Pakistan. We report a case of fatal unintentional paraquat ingestion by 3 years old child who could not survive. Lack of care in the storage of paraquat lead to the poisoning but initial inappropriate management was also one factor in the fatal outcome. Detailed history and provision of poison containers are important in the proper management of patients with poisoning.
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Sikary AK. Homicidal poisoning in India: A short review. Journal of forensic and legal medicine. 2019 Feb 1;61:13-6
Rao R, Bhat R, Pathadka S, Chenji SK, Dsouza S. Golden hours in severe paraquat poisoning-the role of early haemoperfusion therapy. Journal of clinical and diagnostic research: JCDR. 2017 Feb;11(2):OC06
Wang J, Jiang X, Lu G, Zhou J, Kang J, Zhang JS. Identify the early predictor of mortality in patients with acute paraquat poisoning. BioMed research international. 2020 Dec 31;2020
Iyyadurai R, Mohan J, Jose A, Das S, Johnson J, Gunasekaran K. Paraquat poisoning management. Current Medical Issues. 2019 Apr 1;17(2):34
Chen CK, Chen YC, Mégarbane B, Yeh YT, Chaou CH, Chang CH, Lin CC. The acute paraquat poisoning mortality (APPM) score to predict the risk of death in paraquat-poisoned patients. Clinical Toxicology. 2022 Apr 3;60(4):446-50
Lin XH, Pan HY, Cheng FJ, Huang KC, Li CJ, Chen CC, Chuang PC. Association between liberal oxygen therapy and mortality in patients with paraquat poisoning: A multi-center retrospective cohort study. Plos one. 2021 Jan 15;16(1):e0245363
Navneet A, Wadhera S, Dhibar PD. Paraquat Poisoning:‘What we do and do not know.’. J Clin Toxicol. S. 2021;19
Leong YH, Ariff AM, Khan HR, Rani NA, Majid MI. Paraquat poisoning calls to the Malaysia National Poison Centre following its ban and subsequent restriction of the herbicide from 2004 to 2015. Journal of forensic and legal medicine. 2018 May 1;56:16-20
SHEN M, LIU J, HAN L, SUN X, DONG S, LIU C, SHI B, ZHU H, CHEN L, CHEN T, LI L. Epidemiological characteristics of acute paraquat poisoning in children in southwest Shandong and related factors of pulmonary interstitial fibrosis. Chinese Pediatric Emergency Medicine. 2020:30-4
Su Y, Liu W, Dong G, Qian Z, Gurram N, Liu E, Cummings-Vaughn LA, Howard SW, Vaughn MG, Jansson DR, Zhang C. Investigation of simple, objective, and effective indicators for predicting acute paraquat poisoning outcomes. Toxicology and Industrial Health. 2020 Jun;36(6):417-26
Liu S, Wang Q, Zhou R, Li C, Hu D, Xue W, Wu T, Mohan C, Peng A. Hyperamylasemia as an early predictor of mortality in patients with acute paraquat poisoning. Medical science monitor: international medical journal of experimental and clinical research. 2016;22:1342
Isfahani SN, Farajzadegan Z, Sabzghabaee AM, Rahimi A, Samasamshariat S, Eizadi-Mood N. Does hemoperfusion in combination with other treatments reduce the mortality of patients with paraquat poisoning more than hemoperfusion alone: A systematic review with meta-analysis. Journal of Research in Medical Sciences: The Official Journal of Isfahan University of Medical Sciences. 2019;24
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Copyright (c) 2022 Syed Sajid Hussain Shah, Bibi Aalia
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
