Paraquat tongue: rebirth of paraquat intoxication
The World Health Organization (WHO) acknowledges that acute pesticide poisoning account for significant morbidity and mortality worldwide, especially in developing countries. We presented an interesting case of paraquat intoxication.
A 39-year-old man was brought to our emergency department (ED) by his family soon after attempting suicide by ingesting unknown substances. Initial vital signs, laboratory data, and chest radiography showed normal. Only green-blue color of finger and redness of tongue were noted. Initial urine paraquat test (qualitative) was also negative at our ED. We still arranged hemoperfusion therapy due to the strong contact history and some physical examination findings. Finally, the serum paraquat level at ED was 0.1 μg/ml. This case highlights that even in cases with negative urine paraquat tests, detailed history taking and physical examination can help the diagnosis of paraquat poisoning. Early recognition and the appropriate treatment are imperative.
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access and Benefits of Publishing Open Access).