Abstract
1 Trainee in Medical Toxicology, Medical OfficerIntensive Care Unit, Anaesthesia, Provincial General Hospital, Ratnapura, Sri Lanka. 2 Senior Lecturer, Department of Pharmacology, Faculty of Medicine, University of Kelaniya, Sri Lanka. 3 Consultant Physician, Provincial General Hospital, Ratnapura, Sri Lanka. 4 Medical Officer, Emergency Treatment Unit, Provincial General Hospital, Ratnapura, Sri Lanka.
Highlights
Indoxacarb is a non-organophosphorus oxadiazine insecticide that is considered a safe substitute for organophosphate insecticides.[1]
The main problem observed in this patient was methaemoglobinemia
MetHb is generated by oxidation of ferrous (Fe+2) in haem iron to the ferric (Fe+3) state which causes characteristic bluish colour resembling cyanosis
Summary
Indoxacarb is a non-organophosphorus oxadiazine insecticide that is considered a safe substitute for organophosphate insecticides.[1]. 8 hourly while monitoring MetHb level using the colour chart. After 24 hours MetHb level reduced to 10%, cyanosis disappeared and he was transferred back to the ward. Liver profile was normal except a mild elevation of aspartate transaminase (74U/L). Blood picture done on the 4th day showed compensated mild haemolysis.
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