A mass event of paraquat poisoning via inhalation

ObjectiveIn January 2023, a rare event of collective inhalation paraquat poisoning occurred in Shandong, China. To analyze the clinical characteristics of an event of respiratory tract paraquat poisoning through inhalation.MethodsClinical data from eight patients with paraquat inhalation poisoning w...

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Main Authors: Mengdi Shi, Mei Zeng, Tianzi Jian, Guangcai Yu, Aerbusili Genjiafu, Xiangxing Zhang, Lanlan Guo, Ruikai Shang, Zhiqiang Zhou, Tongyue Zhang, Xiangdong Jian, Baotian Kan
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-12-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1309708/full
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author Mengdi Shi
Mengdi Shi
Mei Zeng
Tianzi Jian
Guangcai Yu
Aerbusili Genjiafu
Aerbusili Genjiafu
Xiangxing Zhang
Xiangxing Zhang
Lanlan Guo
Lanlan Guo
Ruikai Shang
Ruikai Shang
Zhiqiang Zhou
Zhiqiang Zhou
Tongyue Zhang
Xiangdong Jian
Xiangdong Jian
Baotian Kan
Baotian Kan
author_facet Mengdi Shi
Mengdi Shi
Mei Zeng
Tianzi Jian
Guangcai Yu
Aerbusili Genjiafu
Aerbusili Genjiafu
Xiangxing Zhang
Xiangxing Zhang
Lanlan Guo
Lanlan Guo
Ruikai Shang
Ruikai Shang
Zhiqiang Zhou
Zhiqiang Zhou
Tongyue Zhang
Xiangdong Jian
Xiangdong Jian
Baotian Kan
Baotian Kan
author_sort Mengdi Shi
collection DOAJ
description ObjectiveIn January 2023, a rare event of collective inhalation paraquat poisoning occurred in Shandong, China. To analyze the clinical characteristics of an event of respiratory tract paraquat poisoning through inhalation.MethodsClinical data from eight patients with paraquat inhalation poisoning were retrospectively analyzed.ResultsThe patients were mainly exposed to paraquat via the respiratory tract. The main clinical manifestations were ocular and respiratory irritation. Lung computed tomography (CT) showed that all eight patients had varying degrees of lung injury, mainly manifesting as exudative lesions. Laboratory tests revealed arterial blood gas hypoxemia, abnormal white blood cell count, and increased neutrophil ratio. Sufficient glucocorticoid impact therapy was effective, and all eight patients survived.ConclusionEight patients experienced chest tightness, shortness of breath, and varying degrees of lung injury due to inhalation of paraquat through the respiratory tract. The early use of glucocorticoids and other comprehensive treatment measures, active prevention and treatment of lung infections, and protection of organ function have beneficial effects in such cases.
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spelling doaj.art-c9f357de3e894c6791fab9b99f4268992023-12-07T11:03:46ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-12-011110.3389/fpubh.2023.13097081309708A mass event of paraquat poisoning via inhalationMengdi Shi0Mengdi Shi1Mei Zeng2Tianzi Jian3Guangcai Yu4Aerbusili Genjiafu5Aerbusili Genjiafu6Xiangxing Zhang7Xiangxing Zhang8Lanlan Guo9Lanlan Guo10Ruikai Shang11Ruikai Shang12Zhiqiang Zhou13Zhiqiang Zhou14Tongyue Zhang15Xiangdong Jian16Xiangdong Jian17Baotian Kan18Baotian Kan19Department of Occupational and Environmental Health, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaDepartment of Poisoning and Occupational Diseases, Emergency Medicine, Cheeloo College of Medicine, Qilu Hospital of Shandong University, Shandong University, Jinan, Shandong, ChinaDepartment of Poisoning and Occupational Diseases, Emergency Medicine, Cheeloo College of Medicine, Qilu Hospital of Shandong University, Shandong University, Jinan, Shandong, ChinaDepartment of Hematology, Qilu Hospital of Shandong University, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaDepartment of Poisoning and Occupational Diseases, Emergency Medicine, Cheeloo College of Medicine, Qilu Hospital of Shandong University, Shandong University, Jinan, Shandong, ChinaDepartment of Occupational and Environmental Health, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaDepartment of Poisoning and Occupational Diseases, Emergency Medicine, Cheeloo College of Medicine, Qilu Hospital of Shandong University, Shandong University, Jinan, Shandong, ChinaDepartment of Occupational and Environmental Health, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaDepartment of Poisoning and Occupational Diseases, Emergency Medicine, Cheeloo College of Medicine, Qilu Hospital of Shandong University, Shandong University, Jinan, Shandong, ChinaDepartment of Occupational and Environmental Health, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaDepartment of Poisoning and Occupational Diseases, Emergency Medicine, Cheeloo College of Medicine, Qilu Hospital of Shandong University, Shandong University, Jinan, Shandong, ChinaDepartment of Occupational and Environmental Health, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaDepartment of Poisoning and Occupational Diseases, Emergency Medicine, Cheeloo College of Medicine, Qilu Hospital of Shandong University, Shandong University, Jinan, Shandong, ChinaDepartment of Occupational and Environmental Health, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaDepartment of Poisoning and Occupational Diseases, Emergency Medicine, Cheeloo College of Medicine, Qilu Hospital of Shandong University, Shandong University, Jinan, Shandong, ChinaDepartment of Poisoning and Occupational Diseases, Emergency Medicine, Cheeloo College of Medicine, Qilu Hospital of Shandong University, Shandong University, Jinan, Shandong, ChinaDepartment of Occupational and Environmental Health, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaDepartment of Poisoning and Occupational Diseases, Emergency Medicine, Cheeloo College of Medicine, Qilu Hospital of Shandong University, Shandong University, Jinan, Shandong, ChinaDepartment of Nursing, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaDepartment of Gerontology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaObjectiveIn January 2023, a rare event of collective inhalation paraquat poisoning occurred in Shandong, China. To analyze the clinical characteristics of an event of respiratory tract paraquat poisoning through inhalation.MethodsClinical data from eight patients with paraquat inhalation poisoning were retrospectively analyzed.ResultsThe patients were mainly exposed to paraquat via the respiratory tract. The main clinical manifestations were ocular and respiratory irritation. Lung computed tomography (CT) showed that all eight patients had varying degrees of lung injury, mainly manifesting as exudative lesions. Laboratory tests revealed arterial blood gas hypoxemia, abnormal white blood cell count, and increased neutrophil ratio. Sufficient glucocorticoid impact therapy was effective, and all eight patients survived.ConclusionEight patients experienced chest tightness, shortness of breath, and varying degrees of lung injury due to inhalation of paraquat through the respiratory tract. The early use of glucocorticoids and other comprehensive treatment measures, active prevention and treatment of lung infections, and protection of organ function have beneficial effects in such cases.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1309708/fullparaquatacute poisoningtoxicologyrespiratorycase report
spellingShingle Mengdi Shi
Mengdi Shi
Mei Zeng
Tianzi Jian
Guangcai Yu
Aerbusili Genjiafu
Aerbusili Genjiafu
Xiangxing Zhang
Xiangxing Zhang
Lanlan Guo
Lanlan Guo
Ruikai Shang
Ruikai Shang
Zhiqiang Zhou
Zhiqiang Zhou
Tongyue Zhang
Xiangdong Jian
Xiangdong Jian
Baotian Kan
Baotian Kan
A mass event of paraquat poisoning via inhalation
Frontiers in Public Health
paraquat
acute poisoning
toxicology
respiratory
case report
title A mass event of paraquat poisoning via inhalation
title_full A mass event of paraquat poisoning via inhalation
title_fullStr A mass event of paraquat poisoning via inhalation
title_full_unstemmed A mass event of paraquat poisoning via inhalation
title_short A mass event of paraquat poisoning via inhalation
title_sort mass event of paraquat poisoning via inhalation
topic paraquat
acute poisoning
toxicology
respiratory
case report
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1309708/full
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