Citation

Mohammed AOH, Saeed MMA, Ahmad AS, Abdulla MC. Int. J. Crit. Illn. Inj. Sci. 2024; 14(1): 59-61.

Copyright

(Copyright © 2024, Medknow Publications)

DOI

10.4103/ijciis.ijciis_37_23

PMID

38715752

PMCID

PMC11073642

Abstract

A 34-year-old Sri Lankan man presented with multiple episodes of vomiting following accidental ingestion of 100 ml of indoxacarb (Avaunt). He had a significant saturation gap (discrepancy between oxygen saturation [98%] in blood gas analysis and saturation on pulse oximetry [70%] in finger pulse oximetry), the color of the blood was muddy brown, and the methemoglobin level (60%) was high in the blood gas analysis. A diagnosis of methemoglobinemia secondary to indoxacarb poisoning was made, and he was treated with methylene blue with a favorable outcome. Methemoglobinemia secondary to indoxacarb poisoning is extremely rare, and clinicians should be aware of this important complication. Methemoglobinemia secondary to indoxacarb poisoning has a favorable outcome if recognized and treated promptly.

Language: en

Keywords

Indoxacarb; methemoglobinemia; poisoning