Multidisciplinary management of paraquat poisoning in pregnant patients: Case report
pdf (Español (España))

Keywords

Pregnancy
Poisoning
Paraquat
Teen
Mental Health

Métricas de PLUMX 

Abstract

Paraquat is an agricultural pesticide from the bipyridyl group with toxic effects on several organs. We present the case of a 15-year-old patient with a 16-week gestation pregnancy who accidentally ingested liquid paraquat. The patient had a history of self-inflicted injuries (cutting). During her hospital stay, she developed hepatorenal damage and pulmonary fibrosis, with a favorable outcome following treatment with supplemental oxygen and corticosteroids. A multidisciplinary approach was taken, including the ethics and bioethics committee, and the pregnancy concluded successfully. Mental health treatment was initiated. We emphasize the importance of identifying risk factors for both physical and psychological health in the care of children and adolescents.

https://doi.org/10.15741/revbio.12.nesp.e1808
pdf (Español (España))

References

Chandra, A., Shah, K. A., Mahato, S., Bhattacharjee, M. S., & Mandal, T. (2021). Paraquat poisoning. BMJ Case Reports, 14(11), e246585. https://doi.org/10.1136/bcr-2021-246585

Diario oficial de la Federación [DOF] (2015). NOM-047-SSA2-2015, Para la atención a la salud del grupo etario de 10 a 19 años de edad, https://www.cedhnl.org.mx/bs/vih/secciones/normatividad/NOM-047-SSA2-2015.pdf

Khazraei, S., Marashi, S. M., & Sanaei-Zadeh, H. (2019). Ventilator settings and outcome of respiratory failure in paraquat-induced pulmonary injury. Scientific Reports, 9(1), 16541. https://doi.org/10.1038/s41598-019-52939-3

Konthonbut, P., Kongtip, P., Nankongnab, N., Tipayamongkholgul, M., Yoosook, W., & Woskie, S. (2018). Paraquat exposure of pregnant women and neonates in agricultural areas in Thailand. International Journal of Environmental Research and Public Health, 15(6), 1163. https://doi.org/10.3390/ijerph15061163

Li, Q., & Deng, Y. (2019). Paraquat poisoning in children: A 5-year review. Pediatric Emergency Care, 00(00), 1-4. https://doi.org/10.1097/PEC.000000000000186

Marín-Cuartas, M., & Berrouet-Mejía, M. C. (2016). Intoxicación por paraquat. Revista CES Medicina, 30(1), 114-121. https://revistas.ces.edu.co/index.php/medicina

Ramos-Gutiérrez, R. Y., Real-Ornelas, G. A., González Ruiz, H. A., Lona-Reyes, J. C., Acuña-Chávez, N., & Barriga-Marín, J. A. (2019). Tratamiento tardío de la intoxicación por paraquat en pacientes pediátricos: Reporte de dos casos. Acta Toxicológica Argentina, 27(3), 101-108. https://actatoxicolargent.org

Secretaría de Salud. (2022). Lineamiento técnico para la atención del aborto seguro en México, Edición 2022. Gobierno de México. https://www.gob.mx/cms/uploads/attachment/file/779301/V2-FINAL_Interactivo_22NOV_22-Lineamiento_te_cnico_aborto.pdf

Licencia Creative Commons
Revista Bio Ciencias by Universidad Autónoma de Nayarit under Creative Commons Attribution-NonCommercial 3.0 Unported License.
Based on work of http://biociencias.uan.edu.mx/.
Further permits not covered by this licence can be found at http://editorial.uan.edu.mx/index.php/BIOCIENCIAS.