Evidence map›Paper›PMID 42147536›Full record

ArticleCureus2026

Clinical Profile, Organ Dysfunction Patterns, and Outcomes in Paraquat Poisoning: A Retrospective Analysis.

Mohammed Imaduddin Mehkri, Shristi Jayakumar Shetty, Bhargav V Bhat, Betsy Mathew, Nishanth Somashekar Ekambaranath

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Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Mohammed Imaduddin MehkriGeneral Medicine, Dr. Chandramma Dayananda Sagar Institute of Medical Education and Research (CDSIMER), Bangalore, IND.
Shristi Jayakumar ShettyGeneral Medicine, Dr. Chandramma Dayananda Sagar Institute of Medical Education and Research (CDSIMER), Bangalore, IND.
Bhargav V BhatGeneral Medicine, Dr. Chandramma Dayananda Sagar Institute of Medical Education and Research (CDSIMER), Bangalore, IND.
Betsy MathewGeneral Medicine, Dr. Chandramma Dayananda Sagar Institute of Medical Education and Research (CDSIMER), Bangalore, IND.
Nishanth Somashekar EkambaranathGeneral Medicine, Dr. Chandramma Dayananda Sagar Institute of Medical Education and Research (CDSIMER), Bangalore, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParaquat is a highly toxic herbicide associated with high mortality following acute ingestion, particularly in rural agricultural regions of India where it remains readily available.

objectiveTo characterize the clinical profile and organ dysfunction patterns of acute paraquat poisoning and to describe their relationship with in-hospital mortality outcomes in a rural tertiary care setting.

methodsThis retrospective observational study included adults admitted with acute oral paraquat ingestion at a tertiary care hospital in South India between August 2020 and August 2025. Demographic data, clinical features, organ involvement, treatment modalities, and outcomes were analyzed.

resultsTwenty-seven patients were included (mean age, 33.4 ± 15.1 years; 20 males (74.1%)). All ingestions were intentional (27/27, 100%). Multiorgan involvement was common, with respiratory failure in 25 patients (92.6%), acute kidney injury in 21 (77.8%), circulatory failure in 20 (74.1%), and hepatic dysfunction in nine (33.3%). Overall in-hospital mortality was 20/27 (74.1%). Mortality increased progressively with the cumulative number of dysfunctional organ systems: no deaths occurred among patients with isolated single-organ dysfunction (0/4, 0%), mortality was three of six (50%) in those with two-organ involvement, and all patients with dysfunction of three or more organ systems did not survive in this cohort (17/17, 100%). Age, gender, and time to hospital presentation were not significantly associated with survival.

conclusionAcute paraquat poisoning is associated with severe multisystem toxicity and high mortality. Mortality increased markedly with increasing organ dysfunction burden, with uniformly fatal outcomes once three or more organ systems were involved. Early hemoperfusion, although unavailable at our center, has been associated with improved survival in prior studies. These findings underscore the need for improved institutional preparedness and consideration of strengthened regulatory measures in regions where paraquat remains widely accessible.

Indexed as

acute kidney injurymortalitymultiorgan dysfunctionparaquat poisoningrespiratory failure

Identifiers

PMID42147536
PMCPMC13178943

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