Intoxicación Aguda por Paraquat

Abstract

Acute paraquat poisoning constitute 4% of all poisonings in the general population. The importance of analysis is that these products have a high mortality rate and effectiveness of currently existing treatments is limited. This case is a patient of 16 year-old male who voluntarily ingested unknown compatible substance with herbicide after family argument; presenting sore throat and greenish vomiting immediately, go with family to the emergency where a patient receives, conscious, stable vital signs and erythematous oropharynx, proceed to perform gastric lavage and administration of activated charcoal for 1 occasion. It remains 12 hours for observation and discharged without medication or warning signs. A 48 hours go by dysphagia for solids and heartburn, physical examination showed whitish lesions in posterior pharynx, further examination which shows a marked impairment of renal function and dithionite test positive so their income is decided are sent. The first three days of hospitalization shows progressive deterioration of renal function and mild hepatic impairment, beginning to normalize after the fourth day. Assessment is performed by determining a psychiatry and psychology jerk reaction that must be handled with continuous monitoring and family therapy. At 13 days hospitalization patient is discharged, asymptomatic tracked outpatient service for evaluation of possible complications. A month later comes to control additional tests showing normal chest x-ray parameters and renal function tests without alterations so decide its final discharge.