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Injection of Paraquat in the Neck: A Rare Complicated Case Report
Vahid Mansouri1, Alireza Rostamian1, Maryam Bemanalizadeh1
1Department of Clinical Toxicology, School of Medicine, Noor Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
Abstract:
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.
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