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Tracheal Injury Caused by Ingested Paraquat*

Manuel Ruiz-Bailén, MD; María del Carmen Serrano-Córcoles, MD; José Ángel Ramos-Cuadra, MD
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*From the Intensive Care Unit (Drs. Ruiz-Bailén and Ramos-Cuadra) and Emergency Unit (Dr. Serrano-Córcoles), Critical Care and Emergencies Department, Hospital de Poniente, El Ejido, Almería, Spain.

Correspondence to: Manuel Ruiz-Bailén, MD, C/. Las Torres 57, 23650 Torredonjimeno, Jaén, Spain; e-mail: MRB1604@teleline.es



Chest. 2001;119(6):1956-1957. doi:10.1378/chest.119.6.1956
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Paraquat is a potent herbicide of lethal toxicity. Its injury mechanism is attributed to the generation of very-reactive oxygen species, such as superoxide radicals, through which multiple injuries are produced on mucosa, although there have been no reports of injuries on the trachea. We describe a case of fatal paraquat poisoning with tracheal injuries, where the clinical debut was acute respiratory insufficiency and a spontaneous pneumothorax.

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