1Department of Forensic Medicine, VMMC & Safdarjung Hospital, New Delhi, India
2Associate Professor, Department of Pharmacology, Kasturba Medical College, Manipal, Karnataka, India
3Lecturer, Universal College of Medical Sciences, Bhairahawa, Nepal
4Associate Professor, Department of Forensic Medicine & Toxicology, Kasturba Medical College, Manipal, Karnataka, India
5Associate Professor, Department of Medicine, KS Hegde Medical Academy, Mangalore, Karnataka, India
*Corresponding Author Dr Shankar M Bakkannavar (Associate Professor), Email: shankar.mb@manipal.edu, Mobile: +91-9110240992
Online published on 15 May, 2021.
Consumption of chemicals and toxins is one of the most common means of committing suicide. Ingestion of pesticides for commission of suicide is a common subtype of this. Pesticide poisoning cases continue to be the one of the most important therapeutic problems around the world. We report a case of suicidal diquat (1,1'-ethylene-2,2'- bipyridyldiylium) poisoning that presented itself with complications and multi-organ failure. The patient was riddled with a myriad of problems such as vomiting, diarrhoea, painful burning of the mouth, tongue oedema, somnolence, mydriasis, reduced light re-flexes, jaundice and hematuria. Timely hemoperfusion, intravenous N acetyl cysteine and transfusion of blood products to the patient prevented catastrophic haemorrhage and saved his life. The patient was successfully treated and fully recovered. In this paper the medical line of management was highlighted which was responsible for the recovery.
Pesticide poisoning, Diquat, Multiorgan failure
