title: [Failure of a cyclophosphamide-dexamethasone combination in paraquat poisoning].
abstract: A 37-year-old female deliberately ingested a 20% solution of paraquat in water. One hour later gastric lavage was carried out and bentonite was administered. Five hours later cyclophosphamide (5 mg/kg/day) and dexamethasone (24 mg/day) were started and a continuous intestinal lavage was carried out; four hours later, hemodialysis was begun. After 36 hours, features of renal and respiratory failure developed, with a rapid progress to respiratory distress. The patient died 94 hours after the ingestion of the poison. Despite early therapy with dexamethasone and cyclophosphamide, this patient's evolution does not support the presumed effectiveness of this drug association for paraquat poisoning.
authors.forename: S
authors.initials: S
authors.lastname: Nogué
authors.forename: P
authors.initials: P
authors.lastname: Munné
authors.forename: E
authors.initials: E
authors.lastname: Campañá
authors.forename: A
authors.initials: A
authors.lastname: Bertrán
authors.forename: R
authors.initials: R
authors.lastname: Reig
authors.forename: M
authors.initials: M
authors.lastname: Rodamilans
mesh_terms: D000328:Adult; D003520:Cyclophosphamide / Q000008:administration & dosage / Q000627:therapeutic use*; D003907:Dexamethasone / Q000008:administration & dosage / Q000627:therapeutic use*; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D007275:Injections, Intravenous; D010269:Paraquat / Q000506:poisoning*; D013405:Suicide
chemical_list: D003907:Dexamethasone; D003520:Cyclophosphamide; D010269:Paraquat
vernacular_title: Fracaso de la combinación ciclofosfamida-dexametasona en la intoxicación por paracuat.