Toxic Hepatitis And Multiple Fecaliths Formation In Paraquat Poisoning

Cases of Paraquat poisoning are on the rise in countries like India, where it is not banned or restricted adequately for use. Paraquat at the molecular level generates oxygen free radicals in the lungs, causing respiratory failure and may also cause acute renal failure in hyper-acute poisoning. There are renal, hepatic and pulmonary manifestations of Paraquat toxicity. We report a case of Paraquat poisoning presenting with toxic hepatitis and multiple fecaliths formations. The clinical toxicologist needs to be wary of bowel-related complications in Paraquat poisoning. The role of paraquat in disturbing bowel mobility and creating a nidus for fecalith formation is of concern in managing the poisoning. Recommendations for proper bowel care in poisoning cases are discussed in this case report.