CLINICAL PROFILE AND OUTCOME OF PARAQUAT POISONING INDUCED ACUTE KIDNEY INJURY

Dr. A. JEGAN; Dr. R. ARUL; Dr. P. ARUN PRASATH.; Dr. P. KRISHNANANTH.; Dr. C. MADHUSUTHANAN.

Volume : VIII, Issue : VIII, August - 2018

CLINICAL PROFILE AND OUTCOME OF PARAQUAT POISONING INDUCED ACUTE KIDNEY INJURY

Dr. A. Jegan, Dr. R. Arul, Dr. P. Arun Prasath. , Dr. P. Krishnananth. , Dr. C. Madhusuthanan.

Abstract :

Paraquat poisoning is one of the causes of AKI, the mechanism of toxicity being the production of reactive oxygen species,thereby causing toxicity at the cellular level. The aim of this study is to determine the requirement of haemodialysis and the severity of toxicity, depending upon the amount ingested.It is found that in Paraquat poisoning, the intervention with pre–emptive haemodialysisis not useful in decreasing the mortality. Ingestion under the influence of alcohol has higher mortality.Amount of poison ingested has a great impact and is directly proportional to the mortality. Oral ulcers, hepatic involvement, ARDS and MODS all reflected grave prognosis ultimately leading to death. The overall mortality in the study is 51%.