Abstract
We studied the case of a 36-year-old female patient who self-administered about 30
ml of diquat solution (200 g/L) during a suicide attempt. She developed nausea, vomiting,
dizziness, and weakness in her limbs and was admitted to the emergency department
of our hospital 4 h later. The patient developed progressive swelling and pain in
both calves 12 h after admission. Based on symptoms, lower limb color Doppler ultrasound,
and elevated levels of myoglobin and creatine kinase, the patient was diagnosed with
rhabdomyolysis caused by diquat poisoning. The patient recovered and was discharged
after treatment with hemoperfusion, continuous venovenous hemodialysis, acid suppression,
liver protection, low-dose glucocorticoids, etc. Rhabdomyolysis caused by diquat poisoning
has not been previously reported. We attempted to analyze the mechanism of this symptom
through a literature review. We recommend the routine monitoring of creatine phosphokinase
(CK) and myoglobin (MYO) in patients with diquat poisoning to avoid missed diagnosis.
Further, the mechanism of this poisoning symptom was discussed through the literature
review.
Key Indexing Terms
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Article info
Publication history
Published online: May 01, 2022
Accepted:
April 26,
2022
Received:
June 26,
2021
Identification
Copyright
© 2022 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.
