MANAGING INDOXACARB POISONING - A RARE PRESENTATION

Abstract

Indoxacarb is a non-organophosphorous compound. It is a newer insecticide used rarely compared to the more common organophosphates by farmers. Hence less information is available on its toxic effects in humans. Timely diagnosis and management in ER can avoid unnecessary mechanical ventilation and other complications. There are few case reports in the literature about indoxacarb poisoning, most of them requiring mechanical ventilation. This is a case of indoxacarb poisoning resulting in methemoglobinemia and seizures timely managed with methylene blue and oxygen support without any need for mechanical ventilatory support.