Paraquat is a herbicide with high toxicity. Paraquat poisoning cases are rarer in our country since its use is restricted. High doses of paraquat causes renal, hepatic, cardiac and pulmonary organ failures and often death in no time. Low doses of paraquat causes late lung fibrosis. We would like to review the treatment approach which is quite different from other poisonings by presenting the case we came across for the first time in our clinic and resulted in death in a very short time.