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Usefulness of chest tomography in paraquat poisoning: A case report


Authors

  • David Alejandro Osorio-Martínez Universidad CES
  • Guillermo César Vélez-Parra Universidad CES
  • Marie Claire Berrouet-Mejía Hospital General de Medellín. Universidad CES.

DOI:

https://doi.org/10.22517/25395203.25016

Keywords:

Paraquat, intoxicación, tomografía

Abstract

Paraquat is a pesticide from the group of herbicides associated with high morbidity and mortality after ingestion with suicidal intent. Among the prognostic aids in the patient intoxicated by this substance there is international literature that takes into account the chest tomography and its findings, however there are no reports at the national level, nor inclusion of this parameter in national guidelines. Therefore, We report the case of a patient with a late diagnosis where, when no pulmonary compromise was found on admission, it was decided to start treatment and obtained favorable results related to the patient's survival.

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Author Biographies

David Alejandro Osorio-Martínez, Universidad CES

Médico.

Especialista en Gerencia de Instituciones Prestadoras de Salud.

Residente de Medicina de Urgencias.

Guillermo César Vélez-Parra, Universidad CES

Médico.

Especialista en Radiología.

 

Marie Claire Berrouet-Mejía, Hospital General de Medellín. Universidad CES.

Médica.

Especialista en Toxicología.

Magíster en Epidemiología. 

 

References

Ministerio de Salud de Colombia [Internet] Instituto Nacional de Salud. Boletín epidemiológico. Semana 52 [citado el 10 de octubre de 2019]. Disponible en: https://www.ins.gov.co/buscador-eventos/BoletinEpidemiologico/2019_Boletin_epidemiologico_semana_52.pdf.

Berrouet MC, Estrada AF Ortiz A, Epidemiología de las intoxicaciones agudas en los servicios de urgencias de hospitales de alta complejidad en la ciudad de Medellín entre los años 2010 a 2013. Diss. CES, 2017.

Buendía, J.A., Chavarriaga, G.J.R. & Zuluaga, A.F. Burden of paraquat poisoning in the department of Antioquia, Colombia. BMC Pharmacol Toxicol. 2019; 20 (11)

Berrouet MC, Gomez U, Marín J. Intoxicacion por Paraquat en: Guías abordaje del paciente intoxicado .Ministerio de salud y protección social Colombia, 2017.

Lee SH, Lee KS, Ahn JM, Kim SH, Hong SY. Paraquat poisoning of the lung: thin-section CT findings. Radiology. 1995 Apr;195(1):271-4. doi: 10.1148/radiology.195.1.7892484. PMID: 7892484.

Senarathna L, Eddleston M, Wilks MF, Woollen BH, Tomenson JA, Roberts DM, Buckley NA. Prediction of outcome after paraquat poisoning by measurement of the plasma paraquat concentration. QJM. 2009 Apr;102(4):251-9. doi: 10.1093/qjmed/hcp006.

Huh JW, Hong SB, Lim CM, Do KH, Lee JS, Koh Y. Sequential radiologic and functional pulmonary changes in patients with paraquat intoxication. Int J Occup Environ Health. 2006 Jul-Sep;12(3):203-8. doi: 10.1179/oeh.2006.12.3.203.

Im JG, Lee KS, Han MC, Kim SJ, Kim IO. Paraquat poisoning: findings on chest radiography and CT in 42 patients. AJR Am J Roentgenol. 1991 Oct;157(4):697-701. doi: 10.2214/ajr.157.4.1892020. PMID: 1892020

Gil HW, Hong JR, Jang SH, Hong SY. Diagnostic and therapeutic approach for acute paraquat intoxication. J Korean Med Sci. 2014 Nov;29(11):1441-9. doi: 10.3346/jkms.2014.29.11.1441

Zhang Q, Wu WZ, Lu YQ, Wang JZ, Shang AD, Yao F, Chen Y. Successful treatment of patients with paraquat intoxication: three case reports and review of the literature. J Zhejiang Univ Sci B. 2012 May;13(5):413-8. doi: 10.1631/jzus.B1200008.

Lee KH, Gil HW, Kim YT, Yang JO, Lee EY, Hong SY. Marked recovery from paraquat-induced lung injury during long-term follow-up. Korean J Intern Med. 2009 Jun;24(2):95-100. doi: 10.3904/kjim.2009.24.2.95

Zhou CY, Kang X, Li CB, Li XH, Liu Y, Wang Z, Wang L, Wu T, Mohan C, Hu DY, Peng A. Pneumomediastinum predicts early mortality in acute paraquat poisoning. Clin Toxicol (Phila). 2015 Jul;53(6):551-6. doi: 10.3109/15563650.2015.1046183.

Deng P, Chen Y, Li H, Wan Z. Pneumomediastinum caused by occult paraquat poisoning: Case report. Medicine (Baltimore). 2018 Dec;97(51):e13745. doi: 10.1097/MD.0000000000013745.

Chen KW, Wu MH, Huang JJ, Yu CY. Bilateral spontaneous pneumothoraces, pneumopericardium, pneumomediastinum, and subcutaneous emphysema: a rare presentation of paraquat intoxication. Ann Emerg Med. 1994 May;23(5):1132-4. doi: 10.1016/s0196-0644(94)70116-4.

Geng Z. Development and Validation of a Radiomics Nomogram for Prognosis Prediction of Patients with Acute Paraquat Poisoning: A Retrospective Cohort Study. Biomed Res Int. 2021 Feb 2;2021:6621894. doi: 10.1155/2021/6621894.

Yanling W, Duo G, Zuojun G, Zhongqiang S, Yankai W, Shan L, Hongying C. Radiomics Nomogram Analyses for Differentiating Pneumonia and Acute Paraquat Lung Injury. Sci Rep. 2019 Oct 21;9(1):15029. doi: 10.1038/s41598-019-50886-7.

Published

2022-10-30 — Updated on 2022-11-24

Versions

How to Cite

Osorio-Martínez, D. A., Vélez-Parra, G. C., & Berrouet-Mejía, M. C. (2022). Usefulness of chest tomography in paraquat poisoning: A case report. Revista Médica De Risaralda, 28(2). https://doi.org/10.22517/25395203.25016 (Original work published October 30, 2022)