Too Blue To Be True”: Indoxacarb Induced Methemoglobinemia- A Rare Case

Authors

  • Jerry Jacob
  • Karthik Reddy C H
  • Jobin James
  • Nijila Janardhanan

DOI:

https://doi.org/10.37506/ijfmt.v15i4.16921

Keywords:

insecticide, toxin, indoxacarb, novaluron, methemoglobinemia, cyanosis, methylene blue, tissue hypoxia.

Abstract

Indoxacarb is an oxadiazine insecticide, which is a sodium channel blocker in the nervous system of insects
and causes mild tremors, cessation of feeding, and death in few hours.
Here we describe a case of novaluron and indoxacarb poisoning in a suicide attempt. The patient presented
with cyanosis with saturation – paO2 gapindicating methemoglobinemia and was treated with methylene
blue and other supportive measures.

Author Biographies

  • Jerry Jacob

    Junior Resident, Emergency Medicine, St. Johns Medical College Hospital, Bengaluru

  • Karthik Reddy C H

    Assistant Professor,Emergency Medicine, St. Johns Medical College Hospital, Bengaluru,

  • Jobin James

    Senior Resident, Emergency Medicine, St. Johns Medical College Hospital , Bengaluru

  • Nijila Janardhanan

    Junior Resident, Emergency Medicine, St. Johns Medical College Hospital, Bengaluru

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Published

2021-08-16

Issue

Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology

Section

Articles

License

https://creativecommons.org/licenses/by-nc/2.0/deed.en

How to Cite

Too Blue To Be True”: Indoxacarb Induced Methemoglobinemia- A Rare Case. (2021). Indian Journal of Forensic Medicine & Toxicology, 15(4), 1501-1507. https://doi.org/10.37506/ijfmt.v15i4.16921