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Deciphering Persistent D‐Dimer Elevation in Paraquat Poisoning: A Mortality Assessment Case Study

Year: 2025

Type: article

Abstract: A 74-year-old woman accidentally ingested an unknown amount of paraquat without suicidal intent. Quickly presenting with dysphagia and tongue and oral mucosa burns, she sought medical care. Admitted to the intensive care unit, by the third day of hospitalization, due to the need to be evaluated for respiratory problems. A surge in the patient's blood D-dimer level prompted concerns of possible pulmonary embolism; however, subsequent evaluations ruled out pulmonary embolism or other complications. This case reinforces the hypothesis that the elevation in the blood's D-dimer level might be associated with paraquat poisoning itself.

Source: Clinical Case Reports

DOI: 10.1002/ccr3.71677

Authors: Behrooz Hashemi Domeneh, Ali Parouhan, Kimia Mohammadi, Masoumeh Amiri, Sasan Shafiei

Institutions: Islamic Azad University, Tehran, Iran University of Medical Sciences, Kermanshah University of Medical Sciences, Shiraz University, Shiraz University of Medical Sciences

Language: English

Topic: Paraquat toxicity studies and treatments

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,820