title: A case of paraquat intoxication caused by intravenous injection.
abstract: Paraquat intoxication is a fatal problem. Most paraquat intoxications happen through oral administration. We report a case of death after intravenous paraquat injection. There is little clinical data on parenteral paraquat exposure, and we describe this case and fatal progression. Toxic symptoms and severe organ function impairment developed soon after injection. Treatment with repeated activated charcoal hemoperfusion with pulse steroids, cyclophosphamide, and antioxidants was attempted. The patient died from multiple organ failure 3 days after intoxication. This case indicates that paraquat intoxication via intravenous injection, even in very small amounts, has an extremely poor prognosis.
authors.affiliation: Department of Emergency Medicine, Eulji University, Seoul, South Korea.
authors.forename: Yoonhee
authors.initials: Y
authors.lastname: Choi
authors.forename: Kwanghyun
authors.initials: K
authors.lastname: Cho
authors.forename: Soonyoung
authors.initials: S
authors.lastname: Yoon
authors.forename: Hyungmin
authors.initials: H
authors.lastname: Lee
authors.forename: Younghwan
authors.initials: Y
authors.lastname: Choi
mesh_terms: D000328:Adult; D017809:Fatal Outcome; D005260:Female; D006540:Herbicides / Q000008:administration & dosage / Q000506:poisoning*; D006801:Humans; D007275:Injections, Intravenous; D009102:Multiple Organ Failure / Q000139:chemically induced / Q000503:physiopathology*; D010269:Paraquat / Q000008:administration & dosage / Q000506:poisoning*
chemical_list: D006540:Herbicides; D010269:Paraquat