Lethal mediastinal emphysema caused by inhalation of paraquat: a case report.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read More Add to Saved list
  • Author(s): Tang Q;Tang Q; Xu J; Xu J; Wang H; Wang H; Wang L; Wang L
  • Source:
    BMC pulmonary medicine [BMC Pulm Med] 2024 Oct 25; Vol. 24 (1), pp. 533. Date of Electronic Publication: 2024 Oct 25.
  • Publication Type:
    Case Reports; Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968563 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2466 (Electronic) Linking ISSN: 14712466 NLM ISO Abbreviation: BMC Pulm Med Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2001]-
    • Subject Terms:
      Paraquat*/poisoning ; Paraquat*/adverse effects ; Mediastinal Emphysema*/etiology ; Mediastinal Emphysema*/chemically induced ; Mediastinal Emphysema*/diagnostic imaging ; Tomography, X-Ray Computed*; Humans ; Male ; Young Adult ; Herbicides/poisoning ; Chest Pain/etiology ; Fatal Outcome
    • Abstract:
      This paper reports on a 22-year-old male presenting with persistent chest pain accompanied by mediastinal emphysema. We firstly considered mediastinal emphysema induced by community acquired pneumonia. Pathogen detection was performed but no positive results were found. Based on the results of a subsequent lung CT scan, paraquat poisoning was suspected. Although there was no trace of paraquat in the blood, the nebulizer masks used by patient at home was found to be positive for paraquat. The diagnosis was ultimately established as paraquat poisoning via inhalation with mediastinal emphysema. This case report explores the clinical manifestations, diagnostic challenges, and treatment complexities of inhaled paraquat poisoning, emphasizing the importance of recognizing this rare poisoning route and its atypical symptoms.
      (© 2024. The Author(s).)
    • References:
      Pediatr Emerg Care. 2021 Dec 1;37(12):e846-e849. (PMID: 31181023)
      Adv Biomed Res. 2021 Jan 27;10:5. (PMID: 33959562)
      Ulus Travma Acil Cerrahi Derg. 2024 Feb;30(2):107-113. (PMID: 38305659)
      World J Clin Cases. 2021 Jul 16;9(20):5588-5593. (PMID: 34307613)
      S Afr Med J. 2017 Apr 25;107(5):399-401. (PMID: 28492119)
      Medicine (Baltimore). 2018 Apr;97(15):e9621. (PMID: 29642226)
      Clin Toxicol (Phila). 2015 Jul;53(6):551-6. (PMID: 26072933)
      Rev Mal Respir. 2022 Mar;39(3):228-240. (PMID: 35331625)
      Int Immunopharmacol. 2022 Dec;113(Pt A):109301. (PMID: 36279672)
      Medicine (Baltimore). 2018 Dec;97(51):e13745. (PMID: 30572516)
      AJR Am J Roentgenol. 1991 Oct;157(4):697-701. (PMID: 1892020)
      IET Syst Biol. 2022 May;16(3-4):132-143. (PMID: 35761476)
    • Grant Information:
      TJYXZDXK-007A Tianjin Municipal Medical Key Construction Project Funding; TJYXZDXK-007A Tianjin Municipal Medical Key Construction Project Funding; TJYXZDXK-007A Tianjin Municipal Medical Key Construction Project Funding; TJYXZDXK-007A Tianjin Municipal Medical Key Construction Project Funding
    • Contributed Indexing:
      Keywords: Inhalation; Mediastinal emphysema; Paraquat; Poisoning; Pulmonary
    • Accession Number:
      PLG39H7695 (Paraquat)
      0 (Herbicides)
    • Publication Date:
      Date Created: 20241025 Date Completed: 20241026 Latest Revision: 20241125
    • Publication Date:
      20241126
    • Accession Number:
      PMC11515206
    • Accession Number:
      10.1186/s12890-024-03353-7
    • Accession Number:
      39455975