Weekly Chest CasesArchive of Old Cases

Case No : 784 Date 2012-11-07

  • Courtesy of Yu-Hwan Oh / Korea University Hospital
  • Age/Sex 68 / M
  • Chief ComplaintDyspnea, chilling, nausea/vomiting
  • Figure 1
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  • Figure 3
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  • Figure 5
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  • Figure 7

Figure 1.

Diagnosis With Brief Discussion

Diagnosis
Paraquat poisoning
Radiologic Findings
He had a history of chilling, nausea vomiting for 2 hours. About 4 hours ago, he drank paraquat by mistake. Chest CT demonstrated multiple GGA in both lungs, mainly in both lower lungs. GGA looks like crazy paving pattern. Mediastinal setting of chest CT image shows no lymphadenopathy and bilateral scanty pleural effusion. Initial chest radiography shows no active lung lesion but just after 3 days, patchy increased opacities developed in both lower lungs.
Brief Review
Paraquat (1 ,1
References
1. Paraquat poisonings : mechanisms of lung toxicity, clinical features, and treatment. R.J Dinis-Oliveira et al. Critical reviews in toxicology 38:1,13-71:2008
2. Paraquat poisoning : findings on chest radiography and CT in 42 patients. Jung Gi Im et al. AJR 157:697-701:1991:10
3. Paraquat poisoning of the lung : Thin section CT findings. Sang Hun Lee et al. Radiology 1995;195:271-274
Keywords
lung, inhalation,

No. of Applicants : 85

▶ Correct Answer : 5/85,  5.9%
  • - Medical College Chest Hospital,Thrissur,Kerala , India Raveendran TK
  • - McGill university , Canada Badriya Al-qassabi
  • - IRSA La Rochelle France , France Denis Chabassiere
  • - China Medical University , Chia-Yi Christian Hospital ,Taiwan, R.O.C. , Taiwan Jun Jun Yeh
  • - IRCCS Istituto Oncologico - Bari , Italy Carlo Florio
▶ Correct Answer as Differential Diagnosis : 15/85,  17.6%
  • - Yokohama-asahi-chuo-general hospital , Japan Kyoko Nagai
  • - McGill University Health Center , Canada Alexandre Semionov
  • - Toyama University Hospital, Laboratory of Pathology , Japan TOMONORI TANAKA
  • - Myongji hospital , Korea (South) Ji Ye Lee
  • - clinique de SAVOIE , France, Metropolitan gay-depassier philippe
  • - Oita University, Faculty of Medicine , Japan Fumito Okada
  • - the first affiliatited hospital of nanjing medical univercity , China Hai Xu
  • - Hanyang University Hospital , Korea (South) Yo Won Choi
  • - Diskapi Yildirim Beyazit Hospital, Ankara , Turkey Meric Tuzun
  • - Radnet Teleradiology Istanbul , Turkey Armagan Sarac
  • - Himeji St.Mary Hospital , Japan Yuichiro Kanie
  • - Kyung Hee University Medical center , Korea (North) Myung You
  • - Homs National Hospital , Syria Rami Abou Zalaf
  • - Kizawa Memorial Hospital , Japan Yo Kaneko
  • - XiangYa hospital , China Xia Yu
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Current Editor : Sang Young Oh, M.D., Ph.D Email : sangyoung.oh@gmail.com

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