Journal of The Korean Society of Clinical Toxicology (대한임상독성학회지)

Korean society of Clincal Toxicology (대한임상독성학회)
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The Fatal Paraquat Poisoning Through Skin Abrasion -Case Report-

피부 찰과상을 통한 파라쿼트 중독에 의한 사망 1례

  • Kim, Sung-Eun (Department of Emergency Medicine, Chuncheon Sacred Heart Hospital, Hallym University) ;
  • Cho, Jun-Hwi (Department of Emergency Medicine, College of Medicine, Kangwon National University) ;
  • Cheon, Seung-Whan (Department of Emergency Medicine, Chuncheon Sacred Heart Hospital, Hallym University) ;
  • Lee, Seung-Young (Department of Emergency Medicine, Chuncheon Sacred Heart Hospital, Hallym University) ;
  • Choi, Ki-Hoon (Department of Emergency Medicine, Chuncheon Sacred Heart Hospital, Hallym University) ;
  • Bae, Ji-Hoon (Department of Emergency Medicine, Chuncheon Sacred Heart Hospital, Hallym University) ;
  • Seo, Jeong-Yeul (Department of Emergency Medicine, Chuncheon Sacred Heart Hospital, Hallym University) ;
  • Ahn, Hee-Cheol (Department of Emergency Medicine, Chuncheon Sacred Heart Hospital, Hallym University) ;
  • Ahn, Moo-Eob (Department of Emergency Medicine, Chuncheon Sacred Heart Hospital, Hallym University) ;
  • Ok, Taek-Gun (Department of Emergency Medicine, College of Medicine, Kangwon National University) ;
  • Park, Chan-Woo (Department of Emergency Medicine, College of Medicine, Kangwon National University)
  • 김성은 (한림대학교 춘천성심병원 응급의학과) ;
  • 조준휘 (강원대학교 의과대학 응급의학교실) ;
  • 천승환 (한림대학교 춘천성심병원 응급의학과) ;
  • 이승용 (한림대학교 춘천성심병원 응급의학과) ;
  • 최기훈 (한림대학교 춘천성심병원 응급의학과) ;
  • 배지훈 (한림대학교 춘천성심병원 응급의학과) ;
  • 서정열 (한림대학교 춘천성심병원 응급의학과) ;
  • 안희철 (한림대학교 춘천성심병원 응급의학과) ;
  • 안무업 (한림대학교 춘천성심병원 응급의학과) ;
  • 옥택근 (강원대학교 의과대학 응급의학교실) ;
  • 박찬우 (강원대학교 의과대학 응급의학교실)
  • Published : 2005.12.01
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Abstract

Paraquat, is a widely used for its great effect as a herbicide. But the mortality rate by paraquat intoxication is known to be very high. It is thought to act by changing form to superoxide and peroxide free radical. Almost paraquat intoxication is through ingestion. A few intoxication of paraquat is through skin absorption. But there was no known death case through skin absorption. We experienced a case of a expired patient by paraquat intoxication through skin abrasion and scratching wound. A 75-year-old man was visited emergency room after motorcycle accident during transporting paraquat. He has multiple abrasion and scratching wound on extremities, and pelvic bone fracture. There was no evidence of ingestion of paraquat. But serum/urine gramoxone level was all positive. In spite of wound irrigation and hemoperfusion, his condition was been gone form bed to worse. 2 days after, multiple organ failure and the respiratory arrest were developed and he was expired. Paraquat intoxication through skin wound is extremely dangerous and death by that could possibly happen

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