A case of severe paraquat poisoning treated by continuous hemodiafiltration without sequelae
© 2023 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine..
Background: In a suicide attempt, a 49-year-old male ingested pesticides. He arrived at the hospital restless and vomiting blue liquid.
Case Presentation: The patient was diagnosed with paraquat poisoning at a lethal dose and experienced renal dysfunction during treatment. He underwent continuous hemodiafiltration (CHDF). Hemodialysis was temporarily initiated and found to improve renal function. He was discharged on day 36 in good condition. He remains well with only mild renal impairment and no pulmonary fibrosis, 240 days after the incident. The fatality rate of paraquat poisoning is approximately 80%, regardless of the treatment. Early hemodialysis combined with CHDF within 4 h has been reported to be effective. In this case, CHDF was initiated approximately 3 h after paraquat administration and showed a successful outcome.
Conclusion: CHDF should be performed as soon as possible to treat paraquat poisoning.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:10 |
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| Enthalten in: |
Acute medicine & surgery - 10(2023), 1 vom: 01. Jan., Seite e833 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Hisamura, Masaki [VerfasserIn] |
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| Links: |
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| Themen: |
Case Reports |
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| Anmerkungen: |
Date Revised 11.03.2023 published: Electronic-eCollection Citation Status PubMed-not-MEDLINE |
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| doi: |
10.1002/ams2.833 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM354010220 |
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| 245 | 1 | 2 | |a A case of severe paraquat poisoning treated by continuous hemodiafiltration without sequelae |
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| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a © 2023 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine. | ||
| 520 | |a Background: In a suicide attempt, a 49-year-old male ingested pesticides. He arrived at the hospital restless and vomiting blue liquid | ||
| 520 | |a Case Presentation: The patient was diagnosed with paraquat poisoning at a lethal dose and experienced renal dysfunction during treatment. He underwent continuous hemodiafiltration (CHDF). Hemodialysis was temporarily initiated and found to improve renal function. He was discharged on day 36 in good condition. He remains well with only mild renal impairment and no pulmonary fibrosis, 240 days after the incident. The fatality rate of paraquat poisoning is approximately 80%, regardless of the treatment. Early hemodialysis combined with CHDF within 4 h has been reported to be effective. In this case, CHDF was initiated approximately 3 h after paraquat administration and showed a successful outcome | ||
| 520 | |a Conclusion: CHDF should be performed as soon as possible to treat paraquat poisoning | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a Continuous hemodiafiltration | |
| 650 | 4 | |a paraquat | |
| 650 | 4 | |a pesticides | |
| 650 | 4 | |a pulmonary fibrosis | |
| 650 | 4 | |a suicide | |
| 700 | 1 | |a Ogura, Tomoyuki |e verfasserin |4 aut | |
| 700 | 1 | |a Tokuda, Mitsuhiro |e verfasserin |4 aut | |
| 700 | 1 | |a Nakamura, Motohiro |e verfasserin |4 aut | |
| 700 | 1 | |a Kenichiro, Sonoda |e verfasserin |4 aut | |
| 700 | 1 | |a Ando, Yoji |e verfasserin |4 aut | |
| 700 | 1 | |a Nakata, Kazuyuki |e verfasserin |4 aut | |
| 700 | 1 | |a Taguchi, Hirokazu |e verfasserin |4 aut | |
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