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A 63-year-old man presented at emergency for shortness of breath associated with jaundice, oral ulceration, odynophagia and oliguria following accidental ingestion of paraquat 7 days prior. He had no previously known comorbidities. Clinically he had tachycardia (114/min), tachypnoea (34/min), low oxygen saturation (SpO2 66%), icterus and ulceration over the tongue (figure 1). On evaluation, he had acute hepatitis (SGOT 120 U/L, SGPT 252 U/L, bilirubin 18.9 mg/dL), renal failure (urea 224 mg/dL, creatinine …
Contributors NA: manuscript writing and patient management. DPD: manuscript supervision and patient management.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.