Paraquat Poisoning: A Retrospective Study of 55 Patients From a Tertiary Care Center in Southern India

被引:11
作者
Ravichandran, R. [1 ]
Amalnath, Deepak [1 ]
Shaha, Kusa K. [2 ]
Srinivas, B. H. [3 ]
机构
[1] Jawaharlal Inst Postgrad Med Educ & Res, Dept Med, Pondicherry, India
[2] Jawaharlal Inst Postgrad Med Educ & Res, Dept Forens Med & Toxicol, Pondicherry, India
[3] Jawaharlal Inst Postgrad Med Educ & Res, Dept Pathol, Pondicherry, India
关键词
Paraquat; Paraquat poisoning; Toxicology; CONTINUOUS VENOVENOUS HEMOFILTRATION; PREVENT DEATH; LUNG;
D O I
10.5005/jp-journals-10071-23369
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Background: In India the data on paraquat (PQ) poisoning are limited to case reports and small case series. Hence, this study was carried out to understand the clinical features and outcomes of PQ poisoning. We also briefly report the relevant Indian studies on PQ poisoning. Materials and methods: This was a retrospective case record-based study of PQ poisoning victims admitted over a period of 5 years. Results: Of the 55 patients included in this study, the in-hospital mortality rate was 72.7%. Acute kidney injury was the most common manifestation.The use of cyclophosphamide did not affect the clinical outcome. Hemoperfusion (HP) was not done for any patient. Pulmonary edema and acute tubular necrosis were the most common histopathological findings. Conclusion: In India, this is one of the most comprehensive studies of PQ toxicity. Hence, we hope that this information would be of use to clinicians who deal with PQ poisoning.
引用
收藏
页码:155 / 159
页数:5
相关论文
共 17 条
[1]  
Banday T., 2014, J Environ Occup Sci, V3, P21, DOI [10.5455/jeos.20140127031530, DOI 10.5455/JEOS.20140127031530]
[2]   Impact of paraquat regulation on suicide in South Korea [J].
Cha, Eun Shil ;
Chang, Shu-Sen ;
Gunnell, David ;
Eddleston, Michael ;
Khang, Young-Ho ;
Lee, Won Jin .
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 2016, 45 (02) :470-479
[3]   Paraquat poisonings:: Mechanisms of lung toxicity, clinical features, and treatment [J].
Dinis-Oliveira, R. J. ;
Duarte, J. A. ;
Sanchez-Navarro, A. ;
Remiao, F. ;
Bastos, M. L. ;
Carvalho, F. .
CRITICAL REVIEWS IN TOXICOLOGY, 2008, 38 (01) :13-71
[4]   Postmortem Analyses Unveil the Poor Efficacy of Decontamination, Anti-Inflammatory and Immunosuppressive Therapies in Paraquat Human Intoxications [J].
Dinis-Oliveira, Ricardo Jorge ;
de Pinho, Paula Guedes ;
Santos, Liliana ;
Teixeira, Helena ;
Magalhaes, Teresa ;
Santos, Agostinho ;
Bastos, Maria de Lourdes ;
Remiao, Fernando ;
Duarte, Jose Alberto ;
Carvalho, Felix .
PLOS ONE, 2009, 4 (09)
[5]   High-dose immunosuppression to prevent death after paraquat self-poisoning - a randomised controlled trial [J].
Gawarammana, Indika ;
Buckley, Nicholas A. ;
Mohamed, Fahim ;
Naser, Kamal ;
Jeganathan, K. ;
Ariyananada, P. L. ;
Wunnapuk, Klintean ;
Dobbins, Timothy A. ;
Tomenson, John A. ;
Wilks, Martin F. ;
Eddleston, Michael ;
Dawson, Andrew H. .
CLINICAL TOXICOLOGY, 2018, 56 (07) :633-639
[6]   Medical management of paraquat ingestion [J].
Gawarammana, Indika B. ;
Buckley, Nicholas A. .
BRITISH JOURNAL OF CLINICAL PHARMACOLOGY, 2011, 72 (05) :745-757
[7]   Polyamines in the lung: polyamine uptake and polyamine-linked pathological or toxicological conditions [J].
Hoet, PHM ;
Nemery, B .
AMERICAN JOURNAL OF PHYSIOLOGY-LUNG CELLULAR AND MOLECULAR PHYSIOLOGY, 2000, 278 (03) :L417-L433
[8]  
Jagadeesan M, 2017, INT J ADV MED, V4, P1088
[9]  
Kanchan Tanuj, 2015, Toxicol Int, V22, P30, DOI 10.4103/0971-6580.172253
[10]   Failure of continuous venovenous hemofiltration to prevent death in paraquat poisoning [J].
Koo, JR ;
Kim, JC ;
Yoon, JW ;
Kim, GH ;
Jeon, RW ;
Kim, HJ ;
Chae, DW ;
Noh, JW .
AMERICAN JOURNAL OF KIDNEY DISEASES, 2002, 39 (01) :55-59