Citation

Mishra AK, Chandiraseharan VK, Jose N, Sudarsanam TD. Indian J. Crit. Care Med. 2016; 20(12): 742-744.

Affiliation

Department of General Medicine Unit II, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.

Copyright

(Copyright © 2016, Indian Society of Critical Care Medicine, Publisher Medknow Publications)

DOI

10.4103/0972-5229.195718

PMID

28149035

Abstract

A 26-year-old female presented with deliberate self-harm using chlorantraniliprole, an unknown substance in human toxicology. She developed symptomatic Mobitz Type I atrioventricular block during observation, for which a temporary pacemaker was inserted. She reverted to sinus rhythm after 48 h and was discharged. Although claimed to be nontoxic to humans, chlorantraniliprole, an insecticide, could cause conduction defects by activating ryanodine receptors. To the best of our knowledge, this is the first case of chlorantraniliprole poisoning reported in the medical literature.

Language: en

Keywords

Chlorantraniliprole; Mobitz Type I atrioventricular block; ryanodine