{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T16:23:07Z","timestamp":1787847787573,"version":"build-2784847793"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>\n                      Paraquat has been recognized as a highly toxic agent for pest removal and is used worldwide. In adults, paraquat poisoning for suicidal attempts is much more common than accidental exposure poisoning. Approximately 20% of patients with paraquat poisoning develop pneumomediastonium as a complication with a mortality rate of approximately 100%. A 19-year-old man patient was admitted to the poisoning emergency department of Khorshid hospital, who had ingested paraquat. He had nausea and vomiting and had normal vital signs and examination in admission. Initial treatment for the patient was done. The patient signs got worsened on the 21\n                      <jats:sup>st<\/jats:sup>\n                      day of hospitalization and had severe emphysema of the superficial and deep spaces of the neck, followed by bilateral pneumothorax, and severe pneumomediastinum. Unfortunately, the patient died on the 27\n                      <jats:sup>th<\/jats:sup>\n                      day of hospitalization. Purpose of the current study is to raise awareness of rare paraquat toxicity complications, treatment, and especially its lethal complications, including pneumomomediastonium.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/abr.abr_95_20","type":"journal-article","created":{"date-parts":[[2021,1,27]],"date-time":"2021-01-27T04:14:11Z","timestamp":1611720851000},"page":"5","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":8,"title":["Report of a Case of Paraquat Poisoning and Mediastinal Involvement"],"prefix":"10.4103","volume":"10","author":[{"given":"Shiva","family":"Samsamshariat","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amirhossein","family":"Vedaei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharare","family":"Jahangiri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahdi Badiee","family":"Gavarti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramin","family":"Sami","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abolfazl","family":"Taheri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gholamali","family":"Dorooshi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-5-20240830","first-page":"210","article-title":"A case report of paraquat poisoning","volume":"19","author":"Gupta","year":"2018","journal-title":"Journal, Indian Acad Clin Med"},{"key":"R3-5-20240830","doi-asserted-by":"crossref","first-page":"182","DOI":"10.4103\/0972-5229.117074","article-title":"ParaquatA deadly poison: Report of a case and review","volume":"17","author":"Sekhar","year":"2013","journal-title":"Indian J Crit Care Med"},{"key":"R4-5-20240830","doi-asserted-by":"crossref","first-page":"1504","DOI":"10.3892\/etm.2013.1320","article-title":"Paraquat poisoning by skin absorption: Two case reports and a literature review","volume":"6","author":"Zhou","year":"2013","journal-title":"Exp Ther Med"},{"key":"R5-5-20240830","doi-asserted-by":"crossref","first-page":"e13745","DOI":"10.1097\/MD.0000000000013745","article-title":"Pneumomediastinum caused by occult paraquat poisoning: Case report","volume":"97","author":"Deng","year":"2018","journal-title":"Medicine (Baltimore"},{"key":"R6-5-20240830","doi-asserted-by":"crossref","first-page":"399","DOI":"10.7196\/SAMJ.2017.v107i5.12306","article-title":"Paraquat poisoning: Acute lung injury \u2013 a missed diagnosis","volume":"107","author":"Ntshalintshali","year":"2017","journal-title":"South African Med J"},{"key":"R7-5-20240830","doi-asserted-by":"crossref","first-page":"697","DOI":"10.2214\/ajr.157.4.1892020","article-title":"Paraquat poisoning: Findings on chest radiography and CT in 42 patients","volume":"157","author":"Im","year":"1991","journal-title":"Am J Roentgenol"}],"container-title":["Advanced Biomedical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/abr.abr_95_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T15:37:51Z","timestamp":1787845071000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/abr.abr_95_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":6,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/abr.abr_95_20","relation":{},"ISSN":["2277-9175"],"issn-type":[{"value":"2277-9175","type":"print"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}