TY - JOUR PY - 1991// TI - Paraquat poisoning: findings on chest radiography and CT in 42 patients JO - AJR American journal of roentgenology A1 - Im, J. G. A1 - Lee, K. S. A1 - Han, M. C. A1 - Kim, S. J. A1 - Kim, I. O. SP - 697 EP - 701 VL - 157 IS - 4 N2 - The purpose of this study is to describe the radiologic manifestations of paraquat-induced pulmonary damage, with special emphasis on the sequential changes seen with this condition. Paraquat is a herbicide that has toxic effects on the lungs, liver, and kidneys. Progressive respiratory failure is a frequent cause of death. We analyzed retrospectively 42 patients with a history of paraquat ingestion and abnormal findings on chest radiographs. Radiographic changes during the first week after ingestion included diffuse consolidation (26/39), pneumomediastinum with or without pneumothorax (15/39), and cardiomegaly with widening of the superior mediastinum (8/39). Small cystic and linear shadows began to appear at the end of the first week and were the preponderant parenchymal abnormality after 2-4 weeks. Focal honeycombing was the major parenchymal abnormality after 4 weeks. High-resolution CT of the lung 9 months after paraquat exposure revealed localized fibrosis containing small cysts. Our study shows that the pulmonary manifestations of paraquat poisoning begin with air-space consolidation, which then leads to end-stage lung.

Language: en

LA - en SN - 0361-803X UR - http://dx.doi.org/10.2214/ajr.157.4.1892020 ID - ref1 ER -