[Fatal paraquat poisoning]

Paraquat is a potent bipiridilium herbicide, largely used by farmers. Is very toxic in the concentrated liquid form supplied. When ingested, even a minimum quantity, can be letal. We present a case of a 69 years old man who intencionaly ingested 60 ml of paraquat and 20 ml of NaOH. Tow hours after the ingestion, the patient wes admited to the emergency service. He was treated with gastrointestinal lavage, activated charcoal, füller's hearth, catárticos, fluid and electrolytes, mannitol, dopamine and haemoperfusion. Despite therapy, the patient developed a multiple organic failure and died fiveteen hours after admission. Clinical course and therapeutical management are described of this deliberale self poisoning infrequently reported in Spain.