Lethal Paraquat Poisoning Caused by Spraying in a Vinyl Greenhouse of Causing Pulmonary Fibrosis with Hepatorenal Dysfunction
Takumi Kishimoto Hideki Fujioka Ichiro Yamadori2) Masashi Ohke Shinji Ozaki1) Yoshinori Kawabata3)
1)Department of Internal Medicine, Okayama Rousai Hospital, Okayama 702-8055, Japan 2)Department of Clinical Pathology, National Okayama Hospital, Okayama 700-0807, Japan 3)Department of Laboratory Medicine, Ohara Cardiovascular Disease Center, Saitama 360-0105, Japan
A 46-year-old man was hospitalized because of general fatigue. He died of respiratory failure caused by hepatorenal dysfunction. Histologic findings in the lungs were consistent with paraquat poisoning. However, he did not have a history of drinking paraquat, but did have an ccupational history of spraying paraquat in a vinyl greenhouse. Retrospectively, chest X-ray films and CT scans showed findings typical of paraquat poisoning. We should inform farmers that paraquat can be toxic when used in vinyl greenhouses.
Paraquat poisoning occupational exposure Lung fibrosis Hepatorenal dysfunction
Received 平成9年5月22日
JJRS, 36(4): 347-352, 1998