Citation

Patil VC, Patil HV, Rajmane ST, Patil P. Indian J. Forensic Med. Toxicol. 2012; 6(1): 152-153.

Copyright

(Copyright © 2012, All-India Institute of Medical Sciences. Deptartment of Forensic Medicine)

DOI

unavailable

PMID

unavailable

Abstract

Endosulfan is a widely used insecticide that is associated with a high fatality rate in humans when ingested accidentally or with the aim of suicide. We are reporting a case of endosulfan poisoning with refractory status epilepticus (RSE) severe life threatening hyperkalemia with metabolic acidosis and acute renal failure successfully treated with Levetiracetam and emergency hemodialysis. We suggest that if acute repetitive seizures, especially in the rural areas, endosulfan intoxication should be considered when the etiology is uncertain even in the absence of any signs of intoxication.

Language: en

Keywords

adult; human; suicide; male; shock; case report; hemodialysis; disease severity; intoxication; article; rural area; diazepam; fluid therapy; seizure; hypotension; lorazepam; acute kidney failure; clinical examination; phenytoin; antibiotic agent; glucose; insulin; aspiration pneumonia; epileptic state; etiracetam; metabolic acidosis; Insecticide; blood pressure; antibiotic therapy; inotropic agent; oxygen saturation; hyperkalemia; endosulfan; Endosulfan poisoning; Refractory status epilepticus; RSE