• Indian J Anaesth · May 2010

    Indoxacarb poisoning: A rare presentation as methemoglobinaemia.

    • Roopam Chhabra, Ishwar Singh, Mansi Tandon, and Ram Babu.
    • Department of Anaesthesiology and Intensive Care, Jaipur Golden Hospital, New Delhi, India.
    • Indian J Anaesth. 2010 May 1;54(3):239-41.

    AbstractIndoxacarb is a broad-spectrum non-organophosphorus oxidiazine insecticide widely used in farming. Once absorbed it acts on sodium channels and blocks the flow of sodium ions. We report a case of indoxacarb poisoning in a farmer following suicidal consumption, manifested as unconsciousness, cyanosis and stationary SpO(2) values. Methemoglobinaemia was suspected on clinical presentation which was successfully managed with inj. methylene blue and other symptomatic and supportive treatment.

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