Inflammatory Esophagogastritis and Acute Kidney Injury After Intentional Ingestion of Paraquat

Abstract

Febrian Juventianto Gunawan, Risna Halim, Andi Muhammad Luthfi Parewangi and Haerani Rasyid

Paraquat a rapidly acting, nonselective herbicide is a leading cause of fatal poisoning in many parts of Asia. This compound is very notorious to cause rapid development of renal, liver, and respiratory failure with very high mortality due to lack of specific antidote and evidence-based treatment. We describe a clinical presentation of inflammatory esophagogastritis and acute kidney injury (AKI) in young adult male after intentional ingestion of paraquat. Dosage of paraquat is 200 ml. The patient has physical problems with swallowing, sore throat, nausea and vomiting, upper abdominal pain, and hematemesis. Intravenous fluid, immunosuppressant, and antioxidant was given to reduce the effect of toxins on target organs.

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