title: A fatal case of paraquat poisoning following minimal dermal exposure.
abstract: Paraquat is a pesticide widely used in agriculture. Numerous cases of paraquat intoxication have been reported either accidentally or intentionally as a suicidal attempt. The most severe cases of paraquat poisoning refer to oral ingestion. Complications include respiratory, hepatic, and renal failure, and are usually fatal. Dermal exposure is less frequent and rarely fatal. This article reports a case of an 81-year-old man with minimal skin burn after accidental paraquat exposure. The patient developed acute renal and respiratory failure and, despite aggressive treatment with hemodialysis, hemoperfusion, and mechanical ventilation, died two days later.
authors.affiliation: Nephrology Department, Evangelismos General Hospital, Athens, Greece. soloukides@yahoo.gr
authors.forename: Andreas
authors.initials: A
authors.lastname: Soloukides
authors.forename: Dimitrios-Anestis
authors.initials: DA
authors.lastname: Moutzouris
authors.forename: Theodore
authors.initials: T
authors.lastname: Kassimatis
authors.forename: Georgios
authors.initials: G
authors.lastname: Metaxatos
authors.forename: Valsamakis
authors.initials: V
authors.lastname: Hadjiconstantinou
mesh_terms: D058186:Acute Kidney Injury / Q000139:chemically induced; D000279:Administration, Cutaneous; D000369:Aged, 80 and over; D002057:Burns, Chemical / Q000209:etiology; D003875:Drug Eruptions / Q000209:etiology; D017809:Fatal Outcome; D006540:Herbicides / Q000506:poisoning*; D006801:Humans; D008297:Male; D010269:Paraquat / Q000506:poisoning*; D012131:Respiratory Insufficiency / Q000139:chemically induced
chemical_list: D006540:Herbicides; D010269:Paraquat