Evidence map›Paper›PMID 38028563›Full record

ArticleRespirology case reports2023

Paraquat ingestion in an adult with cystic fibrosis (CF): Diagnostic and management dilemmas.

Ieuan E S Evans, Shanal Kumar, Megan France, Daniel Smith, Philip Masel, George Tay, Daniel Henderson, Scott C Bell, David Reid

Open access · goldAbstract readCase Reports
In one paragraph

Article in Respirology case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Ieuan E S EvansAdult Cystic Fibrosis Centre The Prince Charles Hospital Brisbane Queensland Australia.ORCID https://orcid.org/0000-0002-9669-0805
Shanal KumarAdult Cystic Fibrosis Centre The Prince Charles Hospital Brisbane Queensland Australia.
Megan FranceAdult Cystic Fibrosis Centre The Prince Charles Hospital Brisbane Queensland Australia.
Daniel SmithAdult Cystic Fibrosis Centre The Prince Charles Hospital Brisbane Queensland Australia.
Philip MaselAdult Cystic Fibrosis Centre The Prince Charles Hospital Brisbane Queensland Australia.
George TayAdult Cystic Fibrosis Centre The Prince Charles Hospital Brisbane Queensland Australia.
Daniel HendersonAdult Cystic Fibrosis Centre The Prince Charles Hospital Brisbane Queensland Australia.
Scott C BellAdult Cystic Fibrosis Centre The Prince Charles Hospital Brisbane Queensland Australia.
David ReidAdult Cystic Fibrosis Centre The Prince Charles Hospital Brisbane Queensland Australia.
Prince Charles Hospital · AUThe University of Queensland · AUTranslational Research Institute · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

N,N'-dimethyl-4,4'bipyridinium dichloride (Paraquat) is a potent herbicide used widely in agriculture. We report the effects of an ingestion of paraquat by a 28 year old male with cystic fibrosis and the diagnostic and management challenges this posed in both the acute and longer term setting. We describe the effects of direct paraquat toxicity on the lung tissue secondary to aspiration and review the long-term sequelae of paraquat, namely osteonecrosis. Our case is the first to describe osteonecrosis of the knee in the context of paraquat toxicity. Survival following ingestion remains poor with a high associated mortality. However, timely treatment with NAC and immunosuppression may impact on survival. In those patients who do survive the acute phase post ingestion, follow-up over years may be required to detect the long-term effects of paraquat on bone health.

Indexed as

cystic fibrosisorthopaedicsrespiratory medicinetoxicology

Identifiers

PMID38028563
PMCPMC10655628
OpenAlexW4388761231

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.