Downloads: 2 | Views: 89 | Weekly Hits: ⮙2 | Monthly Hits: ⮙2

Case Studies | Toxicology Science | India | Volume 12 Issue 5, May 2023

Use of Neutrophil Lymphocyte Ratio and Serum Amylase as Early Predictors of Mortality in Paraquat Poisoning: A Case Report and Literature Review

Mahasweta Choudhury | S S Koushik | Chetan ^[66]

Abstract: Worldwide annually there are around 385 million cases of acute pesticide poisoning reported (which includes herbicide, rodenticide and insecticides) with fatalities of 11,000 cases approximately. In India, herbicide like Paraquat is commonly used. The case fatality rate is high and till now there is a lack of evidence based recommendation of management of Paraquat Poisoning. Here we report a case of 42 years old female with acute Paraquat poisoning who was found to have elevated levels of serum Amylase, increased Neutrophil-Lymphocyte ratio and Leucocytosis with normal renal and hepatic functions. Subsequently patient died and post mortem report revealed enlarged and bulky pancreas. This case report and review article we study the relation of serum amylase and Neutrophil-Lymphocyte ratio in acute Paraquat poisoning and how simple and easily available tests like Complete Blood Count and Pancreatic Enzymes help in predicting prognosis of such cases.

Keywords: Serum Amylase, Neutrophil-Lymphocyte ratio, Leucocytosis, Paraquat Poisoning

Edition: Volume 12 Issue 5, May 2023,

Pages: 263 - 265