Successful management of paraquat-induced multiorgan dysfunction syndrome with intravenous N-acetyl cysteine

Paraquat, a commonly used herbicide, has been associated with high mortality rates when consumed either accidentally or intentionally. The proposed mechanism is free radical-mediated cell damage, leading to multisystem failure, especially involving the lungs and the kidneys. Ideally, diagnosis should be made early and treatment should be initiated as soon as possible. Prognosis of the patient depends on the quantity of the herbicide consumed. Moderate to severe paraquat poisoning is associated with dire consequences. Given below is a case of paraquat poisoning thatled to the development ofmultiorgan dysfunction syndrome that was successfully managed with hemoperfusion and parenteral N acetyl cysteine as given for paracetamol poisoning.